SECTION 1 - IDENTIFICATION OF THE APPLICANT

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1 The data transmitted in this form is used by the personnel of the ATR and the Ministère du Tourisme and kept in the data base of the ministry for statistical, evaluation and future consultation purposes. We invite you to inform us of all modifications to the information already transmitted in order for us to update the data. SECTION 1 - IDENTIFICATION OF THE APPLICANT Business / organization Address Municipality Postal code Telephone Facsimile Internet site of the business or organization Mailing address, if different Municipality Postal code NEQ or Outfitter n o No. TPS No. TVQ This information is mandatory for the processing of your application. OFFICIAL REPRESENTATIVE AND PROJECT LEAD Official representative Telephone Ext: Facsimile Project lead Telephone Ext: Facsimile TYPE OF BUSINESS OR ORGANIZATION Legal status Main activity of the business FPO NPO Cooperative Municipal corporation Aboriginal community or nation Secondary activities Date of commencement (Year-Month-Day) Opening period Year-round Seasonal Specify the number of operating months For the last two completed years, indicate the number of persons that were in your employment: (30h and more / week) On an annual basis (less than 30h / week) (30 h and more / week) On a seasonal basis (less than 30 h / week) (In the case of a start-up company, indicate N/A) For the two years following the end of the project, indicate the number of persons that will be in your employment: (30h and more / week) On an yearly basis (less than 30h / week) (30 h and more / week) On a seasonal basis (less than 30 h / week) Explain: For the last two completed years of operation, indicate the number of visitors according to their geographical origin: Local (MRC) Tourist region Quebec Canada United-States Other international markets (In the case of a start-up company, indicate N/A) The data on the geographical origin of the visitors was collected by: Box office Sampling Survey Other (specify): This data on the geographical origin of the visitors is collected by: Random By estimation Other (specify):

2 For the two years following the end of the project, indicate your traffic flow forecasts: Local (MRC) Tourist region Quebec Canada United-States Other international markets Explain: SECTION 2 - SUMMARY DESCRIPTION OF THE PROJECT Project name: Type of project Attractions, activities, equipment Festivals and events Accommodations Product/service framework Study Consulting services Brief description of the project: Project location: Accessible to persons with limited physical capacities Specify: PROJECT STAGES AND TIMETABLE Start date (YY - MM - DD) End date (YY - MM - DD) The following sections refer to the sectoral tourism strategies. Please note: should the space to complete sections 4 to 8 be insufficient, a document may be annexed to the form. SECTION 3 - LINK TO THE PLAN DE DÉVELOPPEMENT DE L INDUSTRIE TOURISTIQUE AND ITS PLAN D ACTION YOUR PROJECT IS LINKED TO WHICH DEVELOPMENT PRIORITY/IES OF THE PLAN DE DÉVELOPPEMENT AND THE PLAN D ACTION? SECTION 4 - GROWTH AND DEVELOPMEMT OF A PRIORITARY PRODUCT IN WHAT MANNER DOES YOUR PROJECT INCREASE THE QUALITY OF THE TOURISM PRODUCTS TARGETED IN THE PLAN DE DÉVELOPPEMENT AND THE PLAN D ACTION? IN WHAT WAY DOES YOUR PROJECT STAND OUT FROM THE COMPETITION? DESCRIBE THE PERTINENCE FOR ATTRACTING NEW CLIENTELE.

3 SECTION 5 - PRODUCT/SERVICE FRAMEWORK / COMMUNITY SUPPORT WILL YOUR PROJECT CONTRIBUTE TO THE FRAMEWORK OF THE TOURIST PRODUCT/SERVICE IN YOUR REGION? WILL YOUR PROJECT ALLOW YOUR BUSINESS TO DEVELOP BUSINESS RELATIONSHIPS, TO CREATE NETWORKS WITH YOUR PARTNERS OR TO BUNDLE YOUR PRODUCT? WILL YOUR PROJECT CONTRIBUTE TO GENERATING OVERNIGHT VISITS IN YOUR REGION? DOES THE COMMUNITY SUPPORT YOUR PROJECT? SECTION 6 - TARGET MARKETS HOW DOES YOUR PROJECT RESPOND TO THE DEMAND OF THE TARGET MARKETS OF YOUR TOURIST REGION? WHAT MARKETING ACTIONS TO YOU HAVE PLANNED FOR THE MARKETS WITHIN QUEBEC AND OUT OF THE PROVINCE? WHAT IS THE BUDGET ASSOCIATED TO YOUR MARKETING ACTIONS? SECTION 7 - SUSTAINABLE DEVELOPMENT WHAT ARE THE DISTINCTIVE ACTIONS OF YOUR PROJECT IN REGARDS TO SUSTAINABLE DEVELOPMENT (BALANCE BETWEEN ECONOMIC, SOCIAL AND ENVIRONMENTAL ASPECTS)? SECTION 8 - OVERVIEW OF THE PROJECT S KEY ELEMENTS ARE THERE KEY ELEMENTS THAT YOU WOULD LIKE TO BRING TO OUR ATTENTION? WHY SHOULD WE GRANT FINANCIAL SUPPORT TO YOUR PROJECT? WHAT ARE THE ANTICIPATED IMPACTS? FOR EXAMPLE, INDICATE THE NUMBER OF CONSOLIDATED JOBS, NUMBER OF JOBS CREATED, THE IMPACT ON THE TOURISM BENEFITS SUCH AS OVERNIGHT VISITS, THE NUMBER OF PARTNERS, ANTICIPATED INCREASE NUMBER OF VISITORS, THE IMPACT OF TOURIST REVENUES, ETC. DETAILED BREAKDOWN OF THE WORK AND THE COSTS SECTION 9 - COST AND FINANCING OF THE PROJECT AMOUNT ($) BEFORE TAXES Non-refundable taxes Only eligible expenditures will be recognized to establish the amount of financial assistance. amount FINANCIAL ARRANGEMENT (IDENTIFY NAMELY THE MINISTRIES, ORGANIZATIONS OR OTHER FINANCIAL PARTNERS; ALSO INDICATE IF FINANCIAL ASSISTANCE IS CONFIRMED ( C ) OR IF YOU ARE AWAITING A RESPONSE ( A )) TYPE DE FINANCING C OR A AMOUNT ($) EPRT Subsidy Include all sources of private and public financing solicited and confirmed for this project.take note that a minimum contribution of 20% from the proponent is required (10% in the case of aboriginal communities and nations).

4 SECTION 10 - REQUIRED DOCUMENTS FOR ALL REQUESTS OF FINANCIAL ASSISTANCE YOUR APPLICATION FOR FINANCIAL ASSISTANCE MUST INCLUDE THE FOLLOWING INFORMATION, ATTACHED WITH THIS FORM, IN ELECTRONIC FORMAT. CHECK THE BOXES CONFIRMING THE DOCUMENTS ATTACHED TO YOUR APPLICATION. Business plan The business plan must include at least the following aspects: - detailed description of the project, including the innovative aspect; - detailed description of the target clientele and methods used to obtain these objectives (market analysis and perspective, marketing plan, allocated budget); - analysis of the competition; - tourism impacts and benefits of the project; (for example: lengthening of the tourist season, diversification of the concerned region s products/servicecs, bundling or networking, increased number of overnight stays, benefits in regards to employment creation and consolidation); - presentation of the proponent and their team; - financial package. Financial statements for the last two completed financial exercises The balance sheet and income statement are required. Level of verification required (review engagement). Detailed provisional financial statements, for the first three years of operation (for the category of festivals and events, provisionals for the edition concerned by the application only) The provisional balance sheet and provisional income statement are required, accompanied by the hypothesis used in their preparation. The provisional financial statements must indicate, separately, the data related to the project. Letters patent or charter documents Confirmation from the Ministère de la Culture et des Communications in regards to the application or not of the project to the Politique d intégration des arts à l architecture List of authorizations, affidavits, certificates or permits required by law, regulation or other For example, Canadian Environmental Protection Act, Quebec Environment Quality Act, Land Use Planning and Development Act, Act Respecting Tourist Accommodation Establishments, etc. Specify the status of your progress (applications sent, file being processed, authorizations obtained). Copy of financial partner confirmations, if available; Resolution from the organization or the business mandating the signatory of the application for financial assistance for this program and all documents relevant to this application; Copy of tender specifications for the study or consulting-services projects, that include the following elements: - A description of the problem; - The nature of the study objectives; - The suggested methodology; - The timetable; - The deliverables. Also, a minimum of at least 2 professional service proposals. SECTION 11 - DECLARATION I, the undersigned,, declare that the information provided in this Full name in print application and in the attached documents is complete and accurate. I agree to furnish the representatives of the ATR all necessary information for the analysis of the project. I also agree to respect, if applicable, the rules concerning the awarding of contracts. I understand that this request for assistance does not necessarily ensure its acceptance. If my request for financial assistance is accepted, I agree to complete the necessary result forms for the impact analysis of the program and all documents aimed at evaluating the program. Authorized person s signature Date

5 Please note that you must send this application (including the annexes) in electronic format, to the following address: and in paper format (two copies) to: Mélissa Rochefort Directrice structuration et développement de l offre 312, avenue Brochu Sept-Iles (Quebec) G4R 2W6 You can also include, along with your application, copies of available market studies, client or visitor satisfaction and economic impact assessment.