REGIONAL COMPETITION GRANT APPLICATION Host Region: Contact Persons Name: Address: Phone: (Home): (Cell): E-mail: Sport: Date of Event: (mm/dd/yyyy) Facility Name: Event Chairperson: Please list the Regions that will participate in your competition and the number of athletes that will attend the event. Region # Athletes Contact Phone # Competition Grant Requirements: Minimum of 4 Regions Must Participate in the event (including host) Must be approved and signed by the Regional Coordinator Facility must be confirmed for the event date The event must meet the criteria of providing quality sport competition for athletes The attached basic budget must be completed The proposal must be submitted at least 1 month prior to the competition date. This grant may only be received by the HOST Region REGIONAL COMPETITION GRANT APPLICATION Budget Form Revenue Fees or Registration Sponsorship Regional contribution Canteen Sales Other Other Total Revenue: Expenses Facility Cost Meals Equipment/Supplies Awards Other Other Total Expenses: Budget $ Budget $ Completed by: Phone: The Region of for the event described in this proposal. Amount Requested $ , requests a Regional Competition Grant * Regional Coordinator Signature: Approved applications will have a cheque sent to the Regional Coordinator, and be used for the competition as stated in this application. *Amounts for each event will be determined individually, and based on several factors including: the number of regions and athletes served; the overall scope of the event; the number of events requesting support across the Province; items in the budget and so on. Amounts will range from $100 - $600. Please feel free to contact Matt Quinn, SONS Program Director for additional information at: mquinn@sportnovascotia.ca or 902-429-2266 ext 4. The following grid will be used as a guide in the distribution of funds with respect to the Regional Competition Grant process. In order to be fair and accurate in how these funds are shared, we will require a report following the event with the regions and numbers who actually attended. This may increase or decrease the allotment of funds according to the original estimation. Level 1 2 3 4 5 Total # Regions Participating Total # Athletes Participating How many days is the Competition 4 30 1 6 50 1 8 75 1 10 or more 100 and over 2 Level 5 Competition (Special Situation ) will be reviewed on a case by case basis **** Other factors for consideration: # of years the event has been offered Only event in the Province in that sport. Excessive facility costs. Any factors that you believe should be considered. In general the following will be the amounts provided: $100.00 $200.00 $400.00 $300.00 $500.00 $600.00 TBD - Other factors for consideration * Level 1 Competition (meets both Level 1 criteria) Level 2 Competition (meets either of Level 2 criteria) Level 3 Competition (meets either of Level 3 criteria) Level 2 Competition (meets both of Level 2 criteria) Level 3 Competition (meets both of Level 3 criteria) Level 4 Competition (meets either of Level 4 criteria) Level 5 Competition( will be reviewed on a case by case basis) In all cases 4 Regions must participate in the event (including host).