Application for Funding

2017 -2018

EDEN SPORT COUNCIL MEMBERS

NAME OF FEDERATION: ______

DATE PLEASE NOTE ALL APPLICATION FORMS MUST HAVE THE FOLLOWING ATTACHMENTS:

No / ATTACHMENTS / TICK
Narrative & Financial Report of how DCAS funds was disbursed
Copy of Signed AGM minutes
Financial Report or Audited Financial Statement
(Financial Statement must reflect income received from DCAS and an expenditure report reflecting Administration, Development, Capacity Building or Transformation funding)
Confirmation letter if funds were received outside of the financial reporting period
Signed and dated Constitution (if amended at last AGM)
Bank stamped EFTfully completed
Annexure 1: Federation Audit(application will not be considered without the completion of annexure 1)
Annexure 2: DCAS funding receipt schedule
Annexure 3: District Academy Codes
Annexure 4: Club Development Programme
Event Report
Letter of Good Standing from District Sport Council

Application completed by:

Capacity of applicant:

Signature of applicant:

Signature of Chairperson:

Date:

DEPARTMENT OF CULTURAL AFFAIRS AND SPORT

SPORT AND RECREATION FUNDING APPLICATION 2017-2018

SECTION A:
FEDERATION PROFILE
  1. CLIENT PROFILE:

Name of Federation______

Contact Person______Capacity: ______

Address: ______

______

Home no:______

Work no:______

Mobile No:______

Fax no:______

Chairperson email______

Address:______

Secretary E-mail:______

Treasurer E-mail:______

Web Address:______

(Please complete this section if the chairperson’s details changed)

______

______

______

______

______

______

______

______

______

______

Capacity

/ Name and Surname / Gender /

Demo-graphics

/ Contact No / ID Number
  1. Chairperson

  1. Vice-Chairperson

  1. Secretary

  1. Treasurer

  1. Development Officer

  1. Women and Girls Representative

  1. Transformation Officer

  1. School Sport Representative

  1. Paid Staff, if any

  1. Other

  1. Is the Federation unified?
  1. Are you affiliated to the District Sport Council?
  1. Date of your federation’s last Annual General Meeting:

______

(AttachAGM minutes signed by the Chairperson)

  1. List the number of clubs affiliated to the Federation:

______

(Complete annexure A1)

  1. List the federation’s ranking at National level: ______
  1. List the number of provincial players selected for the national squad:

______

  1. Federation sport code season (calendar months): ______to ______
  1. Does the federation host an annual awards ceremony of recognition? ______

______

  1. FINANCIAL INFORMATION

10.1 Stipulate financial year end: ______

10.2 Banking Account Details: (Please complete EFT bank form)

Name of Account Holder:______

Bank:______

Type of Account:______

Account Number:______

Branch Number:______

10.3 Complete Financial Receipt Schedule of funds received from the Department for the period, 2015/2016 and 2016/2017(Complete Annexure 2)

10.4 Please attach audited financial statements of the federation as accepted at the last AGM of the federation.

SECTION B:

FUNDING APPLICATION FORMS

This section consists of the following:

  1. FORM B1: ADMINISTRATION GRANT
  2. FORM B2: PROJECT SPECIFIC APPLICATIONS:
  • Development (Education and training, coaching clinics, etc)
  1. FORM B3: TRANSFORMATION PROJECTS
  2. FORM B4:CAPACITY BUILDING PROJECTS

D.FORM B5:TRAVEL TO NATIONAL EVENTS

E.FORM B6:TRAVEL TO INTERNATIONAL EVENTS

F.FORM C: HOSTING OF MAJOR EVENTS

G.FORM D:ACADEMIES

H.FORM E:CLUB DEVELOPMENT

SECTION B 1 Form B1:

ADMINISTRATION GRANT

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION B2DEVELOPMENT PROJECTS FORM B2:

PROJECT NAME:______

IDENTIFIED AREA:______

PROPOSED DATE OF THE EVENT: ______

TARGET GROUP:______

PROJECT OBJECTIVES:______

______

______

______

______

______

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION B3:TRANSFORMATION PROJECTSFORM B3:

PROJECT NAME:______

IDENTIFIED AREA:______

PROPOSED DATE OF THE EVENT: ______

TARGET GROUP:______

PROJECT OBJECTIVES:______

______

______

______

______

______

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION B4CAPACITY BUILDING PROJECTS FORM B4:

PROJECT NAME:______

IDENTIFIED AREA:______

PROPOSED DATE OF THE EVENT: ______

TARGET GROUP:______

PROJECT OBJECTIVES:______

______

______

______

______

______

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION B5___ TRAVEL TO NATIONAL EVENTS FORM B5:______

PROJECT NAME:______

IDENTIFIED AREA:______

PROPOSED DATE OF THE EVENT: ______

TARGET GROUP:______

PROJECT OBJECTIVES:______

______

______

______

______

______

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION B6 TRAVEL TO INTERNATIONAL EVENTS FORM B6:______

PROJECT NAME:______

IDENTIFIED AREA:______

PROPOSED DATE OF THE EVENT: ______

TARGET GROUP:______

PROJECT OBJECTIVES:______

______

______

______

______

______

INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS
TOTAL / TOTAL
BUDGET DEFICIT/ SURPLUS

SECTION C

(COMPLETE ONLY IF HOSTING A MAJOR EVENT IN 2017-2018)

MAJOR SPORT AND RECREATION EVENTS

FEDERATION: ______

  1. EVENT DETAILS:
  2. Type of Event:______

1.2Date of Event:______

1.3Event Status (mark with X in appropriate box)

International
National
Provincial
Regional
Other

1.5 Objective of the Event______

1.6 Venue/s where the event is to be held:

Organisation/ Company Name

Contact Person:
Telephone Number:
Cell phone Number:
E-mail address:
Address: (Physical):

2.1 Resource Contribution of partner: (mark with X in appropriate block)

Financial
Administrative
Marketing
Other

2.2 Does the event enjoy the support and endorsement of the concerned

National federation?

(If yes please attach the letter of endorsement and support)

  1. PARTICIPANT DETAILS

3.1 Participant Target Audience (mark with X in appropriate box)

TYPE /

X

International
National
Provincial
Regional

3.2 List the Countries, Provinces, or Regions participating.

Country/ Province/ Region / Anticipated Numbers

3.3 Participant Numbers:

Players
Officials
Male
Female
Disabled
  1. EVENT MANAGEMENT DETAILS

4.1 Event manager appointed?

4.2 If yes: please complete

Name of Event Manager/ Co-ordinator: ______

Telephone Number:______

Cell phone:______

Fax:______

E-mail:______

Physical Address: ______

Federation Capacity:______

  1. SECTION C: EVENT HISTORY

5.1 Brief event history:

______

______

5.2 Did the federation receive previous DCAS funding for this type of event?

(If YES please complete 5.2.1 onwards)

5.2.1 Date of Event ______

5.2.2 Event report submitted:

5.2.3 Financial Report

5.2.4 Please list and attach relevant documents if 5.2.2 & 5.2.3 have not been submitted:

6.EVENT BUDGET

You are required to disclose all your possible sources of income.

EVENT BUDGET
INCOME / EXPENDITURE
DETAILS / RANDS / DETAILS / RANDS

TOTAL

/ TOTAL
BUDGET DEFICIT/ SURPLUS

APPLICANT:______

SIGNATURE OF APPLICANT:______

CHAIRPERSON: ______

SIGNATURE OF CHAIRPERSON: ______

SECTION D

(DISTRICT SPORT ACADEMY PROGRAMME)

2017-2018

Please refer to Annexure 3 for Academy codes

Federation: ______

Head Coach:______

Contact: ______

Coaching Qualification: ______

Number of Athletes in the Academy Programme: ______

1.4Athlete Status (Provide number in appropriate box)

International
National
Provincial
District
Other

1.5Support required (Mark with X)

SERVICES RENDERED BY ACADEMIES

1.Talent development
2.Life skills Programmes
3. Coaching
4.Education and training
4.Sport science and Medical Support

SECTION E

(COMPLETE NOMINATION FORM FOR CLUB DEVELOPMENT INTAKE)

2017-2018

(For detailed information regarding the Club Development please refer to Annexure 3)

CLUB NAME: ______

Club Chairperson:______

Contact: ______

Club Secretary:______

Physical Address:______

Contact: ______

Club Treasurer:______

Contact: ______

District where club reside: ______

Municipality: ______

1.6Support required:______

Clubs support

/ Tick the box below
Transport:
Equipment:
Attire:
Capacity building:

Responsible persons within DCAS: Refer to the list attached

Annexure 1

FEDERATION CLUB AUDIT

2016 / 2017 / Target for 2018
Number of Clubs
Number of Clubs in disadvantaged areas
Number of Juniors
Number of Seniors
Number ofMembers
Number of Male Members
Number of Female Members
Number of Members with a Disability
Number of Members on the Executive Committee
Number of Females on the Executive Committee

LIST OF CLUBS (Attach the list in the format below)

Name of Club / Municipality / No. of members / Contact Person and details

Annexure 2

REPORT OF FUNDING RECEIVED FROM THE DEPARTMENT:

PERIOD: 2015/20162016/2017

Funding Source / 2015-2016 / 2016-2017 / TOTAL
Development
Ad-hoc
Major Event
Transformation
Administration Grant
Capacity Building

Annexure 3

Sport Academy Codes

1. Eden District Academy / 4. Cape Winelands District Academy
1.1 Football / 4.1 Cycling
1.2 Cycling / 4.2 Netball
1.3 Baseball / 4.3 Table Tennis
1.4 Boxing / 4.4 Tennis
1.5 Table Tennis / 5 Central Karoo District Academy
1.6 Aquatics / 5.1 Netball
1.7 Netball / 5.2 Rugby
1.8 Athletics / 5.3 Volleyball
2. West Coast District Academy / 5.4 Athletics
2.1 Kickboxing / 5.6 Hockey
2.2 Judo / 5.7 Tennis
2.3 Gymnastics / 5.8 Football
2.4 Cricket / 6. Western Cape Sport Academy( WECSA)
2.5 Netball / 6.1 Athletics
2.6 Athletics / 6.2 Swimming
2.7 Cycling / 6.3 Canoeing
3.Overberg District Academy / 6.4 Weightlifting
3.1 Football / 6.5 Table Tennis
3.2 Equestrian
3.3 Hockey
3.4 Boxing
3.5 Athletics
3.6 Rugby
3.7 Gymnastics
3.8 Karate
3.9 Cricket

ANNEXURE 4

CLUB DEVELOPMENT

•Clubs are recommended for the DCAS Club Development Programme viathe relevant Sport Federation.

•The Federation must be in good standing with the Western Cape Sport Confederation and the relevant District Sport Council.

•Clubs must align to the SASCOC Geo-political boundaries.

•Clubs must conform and meet the regulated prescripts of the relevant Federation (meaning: Clubs must be in good standing and meet all obligations pertaining to their Federation).

•Clubs should not be privately owned: An executive structure must be in place(i.e. President/Chairperson/CEO, Vice Chairperson, Secretary, and Treasurer Etc.)

•The club must be governed by a club constitution.

•The Executive committee of the club must provide latest contact details.

•The club must submit the latest AGM minutes.

•Clubs must submit monthly reports, season fixture, list of members and yearcalendar in line with the Federation calendar of events.

•Clubs may submit a three year development plan.

•Clubs must participate in all capacity building courses and initiatives.

•Clubs may not qualify for assistance if the above prescripts are not adhered to.

Application Process:

  1. Clubs apply by sending a formal letter to request assistance via the DCAS Club Development Programme. All documentation stipulated in the criteria guideline must be attached to the request.
  1. Applications can be submitted electronically or hardcopy to the Federation and a carbon copy must be submitted to our Coordinator in the Regional Offices.
  1. Consultation process between the CDP component and the relevant Federation.
  1. The Federation then signs-off the recommended club/s.
  1. The club then receives an official letter of acceptance into the programme from the DCAS Club Development unit.

Priority Sport Codes according to SRSA

16 + 1 Principle

The Big Five

Football, Netball, Rugby, Cricket & Athletics

11 Core Group

Hockey, Swimming, Tennis, Table Tennis, Basketball, Gymnastics, Softball, Volleyball,

Goalball, Boxing & Chess

+ 1: Indigenous Games (Recreation)

Morabaraba, Neuva, Dibeke, Kgati, Jukskei, Khokho, Diketo and Iintonga

Type of Support offered to clubs:

The DCAS Club Development Programme supports 2 divisions within a club (meaning: 1 junior and 1 senior division)

Within the 3 years on the programme, clubs should receive the following:

  • Transport support to league matches (an allocated amount per financial year);
  • Access to Capacity Building - Education and Training;
  • At least one of the following: Basic sport equipment/basic playing attire/tracksuits, depending on the needs analysis done by the Regional Coordinator.

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DCAS Application for Funding 2017-2018