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2021 Annual Operational Application Form

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Form Explanation

Introduction

Dear applicants,

Welcome to the Sport and Recreation on-line grant application service. Before commencing an application please read the 2020-21 Sport and Recreation Operational Program (SROP) Guidelines which are available at: http://www.sport.act.gov.au/grants

This site will allow you to apply for the Sport and Recreation Operational Program (SROP) funding for Annual Assistance grants for the 2020-21 calendar year.

Annual Assistance is designed to subsidise operational costs to assist eligible peak body organisations work in partnership with Sport and Recreation to develop participation opportunities in sport and physical recreation in the ACT. Annual Assistance is a single allocation of grant funding to be utilised during the revelant calendar year.

To be eligible for a grant, an applicant must:

1.be recognised by Sport and Recreation as the ACT Peak Body representative prior to application (see Item 6.2 Peak Body Criteria for more information);

2.be a not for profit organisation;

3.be incorporated in the ACT under the Associations Incorporation Act 1991, or a

company registered under the Corporations Act 2001 (Commonwealth) with its principal place of business in the ACT;

4.deliver programs within the ACT;

5.have current Public Liability Insurance coverage to a minimum level of $10,000,000; 6.have an Australian Business Number (ABN);

7.be registered for the Goods and Services Tax (GST) if applicable (if turnover is greater than $150,000 per annum);

8.have compliance requirements under the Associations Incorporation Act 1991 up to date; and

9.have satisfactorily acquitted all previous grants provided by Sport and Recreation (except for current year's funding), including financial acquittals for any other ACT Government agency grant.

PEAK BODY

ACT Peak Body organisations must meet the following criteria:

1.the organisation must have been incorporated within the ACT for a minimum of three consecutive years;

2.the organisation must have the primary purpose in the development of not for profit Sport and Recreation activity articulated in the organisations written constitution; 3.the organisation must have a current Drugs in Sport Anti Doping Policy (unless

exempted by Sport and Recreation);

4.the organisation must have a current Member Protection Policy;

5.The organisation must be an umbrella organisation, or the pre-eminent organisation with responsibility for that activity within the ACT (when a dispute exists, this will be determined by which organisation is recognised by the Sport Australia (SA) at the national and/or international level); or

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activity will have to complete the Peak Body Application Form available by contacting Sport and Recreation.

PLEASE NOTE: Any applicants that choose any options that are contrary to the eligibility requirements may not have their application accepted for assessment. If you have any questions about the program please contact Sport and Recreation on (02) 6207 6195 or email: [email protected]

If you are having difficulty in accessing the online application form or if an error occurs, please contact Business Services Team on (02) 6207 1080 or on

[email protected]

 

Peak Body Criteria

* indicates a required field

Please Note:

Organisations who wish to apply for recognition as the ACT Peak Body for their respective activity will have to complete the Peak Body Application Form available by contacting the Senior Project Officer at Sport and Recreation.

If you are unsure of the current status of your organisation please contact the Senior Project Officer at Sport and Recreation on (02) 6207 6195 or email [email protected].

* Organisations should be aware that recognition as an ACT Peak Body does not

guarantee funding under the SROP.

Has your organisation been incorporated within the ACT for a minimum of three (3) consecutive years? *

○   Yes ○   No

Is your organisation's primary purpose to develop a Sport and Recreation activity which is articulated within your organisations written consititution? *

○   Yes ○   No

Does your organisation have a current Drugs in Sport Anti Doping Policy (unless exempted by Sport and Recreation)? *

○   Yes ○   No

If yes, please attach document/s here. *

Attach a file:

 

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○   No

If yes, please attach document/s here. *

Attach a file:

 

Does your organisation have a current Sport Integrity Policy? *

○   Yes ○   No

If yes, please attach document/s here. *

Attach a file:

 

Is your organisation an unbrella organisation, or the pre-eminent organisation with responsibility for that activity within the ACT? *

○   Yes ○   No

When a dispute exists, this will be determined by which organisation is recognised by Sport Australia at the national and / or international level.

Is your organisation taking responsibility for the activity within the ACT? *

○   Yes ○   No

 

Eligibility Requirements

* indicates a required field

Please Note:

If you do not comply with the following eligibility requirements, your application will not be assessed for funding.

Is your organisation a not-for-profit entity? *

○   Yes ○   No

Does your organisation operate in the ACT? *

○   Yes ○   No

Is your organisation incorporated in the ACT under either *

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Which year did your organisation become incorporated? *

 

Must be a number.

If your organisation is incorporated under the Associations Incorporation Act 1991, please provide your organisation's association number *

 

Is your organisation up to date with compliance requirements under the Associations Incorporation Act 1991, or the Corporations Act 2001? *

○   Yes ○   No

All applicants must have compliance requirements under the relevant Act up to date

Do you have Public Liability Insurance? *

○   Yes ○   No

Public Liability Insurance coverage to a minimum level of $10,000,000

Please attach a copy of your current insurance certificate. *

Attach a file:

 

Do you have an ABN? *

○  Yes ○  No

Please provide your ABN.

 

The ABN provided will be used to look up the following information. Click Lookup above to check that you have entered the ABN correctly.

 Information from the Australian Business Register  ABN

 Entity name  ABN status  Entity type

 Goods & Services Tax (GST)  DGR Endorsed

 ATO Charity Type More information

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 Main business location

Must be an ABN.

Do you have any outstanding reporting requirements for any previous Sport and Recreation or ACT Government Grants? *

○   Yes ○   No

If you have previously received an ACT Government grant and you are unsure if acquittal obligations have been met please check with the ACT Government area you received the funding from.

If yes, please explain why the acquittal and / or reporting requirements have not been met.

 

Please provide details of any ACT Government grants your organisation has received in the last two (2) years.

 

 

Organisation Details

* indicates a required field

Contact Details

Organisation Legal

Name *

 

CEO Name * Title   First Name   Last Name

 

 

 

 

 

President Name * Title   First Name   Last Name

 

 

 

 

 

Project Contact Person * Title   First Name   Last Name

 

 

 

 

 

Project Contact Position

 

Postal Address * Address

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Suburb   State   Postcode

 

 

 

 

 

Physical Address Address

 

 

Suburb   State   Postcode

 

 

 

 

 

Phone Number *

 

Organisation Email Address *

 

Website Address

 

Social Media

 

eg. Facebook / Twitter (if applicable)

Board Composition

Sport and Recreation supports gender diversity on Boards, consistent with the targets articulated within the Sport Australia Governance Principles.

For further information refer to the Sport Australia Mandatory Governance Principles 2.6 & 2.7 at https://www.sportaus.gov.au/governance/mandatory_sports_governance_principles

Board Member overview Attach a file:

 

Including gender, title and term of appointment.

Affiliated Clubs

Please attach a list of Affiliated Clubs (if applicable) within your organisation (using the format below).

Club Name, Address, Email, Phone, President

Affiliated Clubs Attach a file:

 

 

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Funding Category

* indicates a required field

Financial Reporting Period *

○   Financial Year ○   Calendar Year ○ Other:

 

eg. Oct - Dec

Which category / amount are you applying for in 2020? * ○   Category 1 - $10,000 to $11,000 ○   Category 2 - $7,500 to $8,500 ○   Category 3 - $5,000 to $6,000 ○   Category 4 - $2,500 to $3,500

Active 2020 Priorities

ACTIVE 2020 is a long term strategic plan for sport and active recreation in the ACT Region, promoting partnerships to develop the industry and unite the system to connect and

promote the economic and social value of sport and active recreation to the community. ACTIVE 2020 identifies seven fundamental goals as the key strategic priorities upon which the industry will be nurtured and promoted over the period 2011-2020.

Strategic Priorities 1, 2, 3, 6 and 7 are wholly or impart consistently with the scope of the Sport and Recreation Grants Program (SRGP).

Within one of these priority areas identify the strategic initiative to which your organisation's priority outcome for 2020 best aligns.

You can view the ACTIVE 2020 Plan at: https://www.sport.act.gov.au/__data/assets/ pdf_file/0006/847869/ACTIVE-2020-Strategic-Plan.pdf

Priority - Initiative *

 

eg: 3.5 Encourage succession planning for coaches, officials and administrators to ensure an ongoing supply and pathway.

Initiative *

 

Provide details of the priority strategic initiative / activity of your organisation in 2020 that will complement the identified ACTIVE 2020 priority-initiative (above).

Supporting Document Attach a file:

 

If you wish to support this question, please attach here.

 

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Assessment Criteria

* indicates a required field

All submissions will be assessed against the following criteria in accordance with the 2020 Sport and Recreation Operational Program (SROP) guidelines.

1. Please describe the services including events that your organisation provides to the ACT community. What are the key activities of your organisation in terms of sport development and promotion? *

 

Word count:

Must be no more than 250 words.

2. Please provide a brief summary of your organisational growth in the last 12 months and how funding assistance will further support this in 2020? *

 

Word count:

Must be no more than 250 words.

3. Please identify the priorities of your organisation for the next 12 months, particularly including participation development.

 

Word count:

Must be no more than 250 words.

Membership / Participation Distribution

Sport Australia (SA) together with all State/Territory Departments of Sport and Recreation have agreed to a consistent method of tracking membership numbers.

Please provide numbers of the 'five' agreed Categories as listed below. Definitions of each Category can be found in Item 10 Membership/Participation Definitions of the SROP Guidelines which are available at the http://www.sport.act.gov.au/grants.

1. Full Active - Male *

 

Must be a number.

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Must be a number.

2. Program Participants - Male *

 

Must be a number.

Female *

 

Must be a number.

3. Event Participants - Male *

 

Must be a number.

Female *

 

Must be a number.

4. School-delivered Programs - Male *

 

Must be a number.

Female *

 

Must be a number.

5. School-managed Competitions - Male *

 

Must be a number. Female *

 

Must be a number. TOTAL - Male *

 

Must be a number. TOTAL - Female *

 

Must be a number.

Supporting documents

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1. Audited Financial

Statement * Attach a file:

 

2. Strategic Plan * Attach a file:

 

Additional Information

Please upload any additional information or documentation that may support your application as necessary.

Attach a file:

 

 

Review, submit and feedback

* indicates a required field

Certification

I certify that:

  To the best of my knowledge the statements made within this application and the information provided is true and correct.

 I understand that Sport and Recreation is collecting information on this form and any other information I provide as part of my application to access whether my organisation is eligible for a grant under the Sport and Recreation Grant Program.

 I accept that Sport and Recreation may provide some or all of this information to other ACT Government agencies administering grant programs.

 I understand that information relating but not limited to this application may be used when assessing the eligibility of future grants for which my organisation might apply. If my organisation receives a grant, the performance and acquittal of the grant may also be taken into consideration by the ACT Government when assessing future grant applications that are submitted by your organisation.

 I understand and accept that should the application be successful, I will be required to accept the terms and conditions of the grant as outlined in the Grants Program Guidelines and Deed of Grant.

 By submitting this application, I acknowledge that each individual referred to in the application is aware that the information relating to the organisation may be disclosed and used. I give consent for the

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Directorate (CMTEDD) to use and publish photographic images and audio-visual recordings (the Material) of the project in this application for informational and promotional purposes. These include:

1. 1.CMTEDD promotional material and reports; 2.External and educational publications; 3.The Sport and Recreation website; and 4.Social media.

Certification * ○   Yes, I have read and agree to the above conditions. ○   No

Name * Title   First Name   Last Name

 

 

 

 

 

Position with the

organisation *

 

Day-time phone

number / mobile number

*

 

Must be an Australian phone number.

Email *

 

Must be an email address.

Date *

 

Must be a date.

Privacy Notice

In compliance with the Information Privacy Act 2014 (the Act), personal information on this form may be stored in CMTEDD’s records database and may also be used for statistical research, information provision and evaluation of services. Your personal information may be disclosed to other agencies and third parties for purposes related to this application and/ or monitoring compliance with the Act. Additional requirements outside of the provisions referenced above, personal or commercial information will only be disclosed to third parties with your consent unless otherwise required or authorised by law.

You are now coming to the end of your application process. Please REVIEW your application to ensure you have included all the information required and then click SUBMIT. Once submitted, it will not be able to be retrieved to edit.

Feedback Please take a few moments to provide some feedback. We value any feedback you may have regarding our online grants application process.

How did you find out about the 2020-21 Sport and Recreation Operational Program (SROP)?

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☐   Internet browser ☐   Email ☐   Information session ☐   Website ☐ Other:

 

Please indicate how you found the online application process. ☐   Very easy

☐   Easy ☐   Neither ☐   Difficult ☐   Very difficult

How much time did it take you to complete this application?

 

Do you have any recommendations and/or advice that could improve the application process?

 

References

Related documents

I understand that I am responsible for submitting complete and accurate information on my application form and in all related application materials. I certify that the

• I have given complete and true information on this application form and I understand that if I fail to provide complete and true information and/or fail to promptly notify

I authorise my Financial Advisers to enter this application online on my behalf based on the information that has been provided in this application form. I understand and

By signing this application form, I certify that the information I have provided on this form and in any supplemental materials is complete and accurate. I understand that

I/We hereby declare that all information I/we have provided or will provide to ME Bank during the application process (including in this application form or to my broker or to an

I understand that I may be required to submit information not requested on this application form; that during the application process, any information provided by me is subject

•  I understand that Sport and Recreation is collecting information on this form and any other information I provide as part of my application to access whether my organisation

I understand that falsification, misrepresentation, or omission of any information on my application, resume, or any other materials, or which I supply during any interviews, will