Grassroots Cricket Support Facility Application
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ORGANISAITON INFORMATION
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| Name of Organisation
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| Address of Organisation
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Email
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| Phone Number
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APPLICANT INFORMATION
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| Name of contact person
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| Prefix
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| First
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| Last
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| Suffix
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| Designation
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| Contact Number
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| Email
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ORGANISATION DETAILS
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| Date Organisation was founded
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| Number of Members
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| Members below age 19
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| Does your organisation own the facility being used?
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| YES NO
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| If NO, Name of Owner
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| Contact Number of Facility Owner
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| Please Provide signed authorisation letter(s) granting permission to use Facility
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| What is the main purpose of your organisation
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| Briefly describe the reason for starting your organisation and its primary aims and objectives. This will give us a general idea of what your organisation does.
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| Training Programme
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| List all training and development programmes currently available at your organisation
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| List communities/areas that benefit from your Organisation's programmes
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| List activities/tournaments your organisation has undertaken or was involved in and state date and results
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| List activities followed by data and result. Example:
Grassroots Programme, June 8, 2011, 1st Place
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| How man persons are involved in your organisation?
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| Does your Organisation have a membership fee?
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| YES NO
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| If YES, what is the annual membership fee?
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| What gear is currently available at your organisation?
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| What equipment is current available at your organisation
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| Please attach details of your organisation structure/Organisational Chart
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| Please attach a copy of your Constitution
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Funding Grant
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| Select category/categories you are applying for
| Facility Infrastructure Developement Strengthen Training Programme Training Gear and Equipment
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| What do you hope to achieve with the grant?
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Details of Funding Grant
Only complete the section which relates to the category/categories selected above
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Facility Ingrastructre Development
Complete this section only if you selected this category
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| Please attach details of Infrastructure Development Plan
| Plan should include details of the proposed infrastructure development for the Organisation as well as the purpose and benefit of the infrastructure development. The timeline of activities to complete the development plan should also be included.
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| How long will it take to accomplish all activities in the Organisation's infrastructure development plan?
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Strengthen Training Programme
Complete this section only if you selected this cateogry
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| Please attach details of Training Programme
| Plan should be a comprehensive outline of the planned training programme. This should include objectives of training programmme with timeline for activities, number rof coaches, coach's qualification, training schedules etc.
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| Reason for implementing this training programme
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| What is the period of the training programme
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| What age range will the programme target
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| How many participants do you anticipate
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| Will this programme be available to the Public?
| YES NO
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| Will you be partnering with any other agencies or local groups?
| YES NO
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| What are the criteria to enroll?
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Training Gear and Equipment
Complete this section only if you selected this cateogry
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| Attach a list of training gear and/or equipment being requested
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| Attach a document detailing what the programme equipment will be used for
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| What age range will the gear and equipment be proccured for?
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Budget and Financial Details
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| Total funds requested
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| Please attach detailed budget for funding requested
| This should include breakdown of all expenses anticipated. Budget cannot be general and has to include the item(s), quantities and cost.
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| Please attach a signed copy of your most recent financial accounts/statements and your annual income for the previous year
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| Please attach your banking details (wire transfer information)
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Reference
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| Please provide a reference from your local cricketing body and your local Sports Ministry
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Image Verification
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