Terms Of Reference Leisure Service Advisory Committee Date of Meeting: Item: 3 Location: Asaskan Forum

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Terms Of Reference Leisure Service Advisory Committee Date of Meeting: Item: 3 Location: Asaskan Forum SASKATCHEWAN LOTTERIES COMMUNITY GRANT PROGRAM Investing in Sport, Culture, Art and Recreation 2013-2014 Guidelines & Application Package APPLICATION DEADLINE IS: Noon on Monday, March 4, 2013 Table Of Contents 1. Program Purpose 2. Eligibility a. Eligible Organizations b. Ineligible Organizations c. Eligible Programs d. Ineligible Programs e. Eligible Expenses f. Ineligible Expenses 3. Funding 4. Application Process 5. Evaluation Criteria 6. Approval Process 7. Post Approval a. Recognition b. Initial Payment c. Follow-up Report d. Final Payment Application Form

1. Program Purpose The Saskatchewan Lotteries Trust Fund was created by volunteers in 1974. The Trust Fund revenue is generated through the sale of Saskatchewan Lottery tickets. Throughout Saskatchewan over 12,000 sports, culture, recreation and community groups benefit from the Trust Fund. The Saskatchewan Lotteries Community Grant Program assists in the development of sport, culture, art and recreation programs by providing funds to non-profit community organizations operated by volunteers. The Town of Assiniboia administers the grant for community groups in Assiniboia, on behalf of Saskatchewan Lotteries. The Saskatchewan Lotteries Community Grant Program allows communities to establish local priorities. The goal of this grant program is to get people involved in sport, culture, art and recreation activities especially those activities which: encourage participation by under-represented populations within our community - children and teenagers (especially youth at risk), persons with a disability, economically disadvantaged individuals or families, and inactive seniors provide opportunities for skill development encourage leadership development 2. Eligibility a. Eligible Organizations Only non-profit organizations currently incorporated in Saskatchewan are eligible to apply for funding. An organization must have been incorporated for at least one year prior to the application deadline. A copy of your organization s current Profile Report from the Corporate Registry maybe requested at the time of submitting your application. If your organization is not incorporated, you may form a partnership with an incorporated organization to submit a request for funding. The organization must have liability and participants insurance for any program funded through this grant. Grant funds may not be used for this purpose. b. Ineligible Organizations: Funding will not be provided to: educational institutions, private schools and universities government agencies, police or fire departments libraries health districts, hospitals, nursing homes organizations that have not met the terms and conditions of any funding program administered by the Town of Assiniboia

c. Eligible Programs Programs must have sport, culture, art, and/or recreation as their main focus. Programs must occur in Assiniboia Programs must occur between April 1, 2013 and March 1, 2014 The majority of program participants must be Assiniboia residents. Programs must be open to the general public and not discriminate on the basis of race, religion, gender or ethnicity. d. Ineligible Programs Capital development projects such as playground development, athletic field, park or facility developments. Retroactive funding. Educational or social service programs. Staff development or training. Fundraising activities or show and sales events. Funding for hosting or attending a conference. Provincial, National or International competitions for Hosting Assistance information please refer to Town of Assiniboia website or call 642-3382. Festivals Programs planned to provide opportunities specifically for aboriginal people must apply for funding through the Urban Aboriginal Community Grant Program call 642-3382 for more information. e. Eligible Expenses Expenditures must be directly related to the delivery of a sport, culture, art or recreation program. Funding may be requested for program equipment, supplies, instructor wages, facility rental and other direct program costs. Taxi, bus or van rental costs for travel within Saskatchewan may be approved if transportation is essential to the success of the program. Eligible employment expenditures must be no more than 35 hours a week and no more than 90 days in a grant period (or 455 hours in a grant period); f. Ineligible Expenses The following costs are NOT eligible for funding: Construction, renovation, retro-fit and repairs to buildings/facilities (this includes fixing doors, shingling roofs, installing flooring, moving/hauling dirt, etc.); Property taxes; Insurance; Alcoholic beverages; Per Diems / Day Money; Food or food related costs (this includes catering supplies, coffee pots, coffee, BBQs, etc.); Membership fees in other lottery funded organizations; Prizes, cash, gifts, awards, honorariums, trophies, plaques and badges; Subsidization of wages for full-time employees; Uniforms or personal items such as sweatbands, hats, t-shirts, costumes, athletic equipment which will be used by only one individual; Private vehicles and related expenses; Maintenance and operation costs of facilities; Grant funding is not meant to provide subsidization of basic ongoing programs, clubs, bands, leagues, et cetera as these costs should be covered within an organization s budget.

3. Funding Eligible organizations may request a maximum of $2,000. Funding may be requested for one program or multiple programs. There is no guarantee of funding - applications may result in full, partial or no funding. 4. Application Process Application deadline is Monday, March 4, 2013. Separate application forms must be submitted for each program requesting funding. Late applications are not accepted. Incomplete applications will not be forwarded to the Standing Committee for Parks, Recreation and Culture. Applications can be hand delivered to the Town of Assiniboia or mailed to: Town of Assiniboia C/o Department of Parks, Recreation and Culture 131 3 rd Ave W Assiniboia, Sk S0H 0B0 Electronic Applications with signatures can be sent to recreation@assiniboia.net 5. Evaluation Criteria Applications are evaluated and ranked using these criteria: Organizational Capacity and Program Plan: o Is the program well planned and organized? o Why is grant funding needed? What is the cost per person for the program? o How will you determine if the program is successful? What evaluation methods will be used? Community Impact and Benefit: o What are the program objectives? o What will be the benefits to the participants? o The Benefits of Parks and Recreation is a philosophy that focuses on the outcomes and end results of participation in sport, culture, art and recreation activities. Identify the benefits which will be received by the participants. Resource material can be found at www.spra.sk.ca then go to Advocacy / Benefits of Recreation. o Is physical activity incorporated into the program plan? o Letters of support o Program evaluation statistics or testimonials if this program has occurred in the past o How many people will be involved? Unique and/or Grass Roots Program: o Is the program unique? o Favourable consideration is given to requests for grass roots, community programs that do not duplicate existing services. Target Populations: o Does the program provide an opportunity for children or youth at risk, persons with a disability, economically disadvantaged individuals or families, or inactive seniors to participate?

Accessibility o Is the program accessible? o Are the barriers removed? o What are the transportation or equipment costs and who bears the cost? A low priority is given to requests for funding to offset lost revenue. For example, low priority is given to funding requests to cover the cost of giving away several free tickets to a festival or providing free admission to a performance. A low priority is given to program funding requests from organizations that serve a small restricted group of people, rather than the general public. Examples include requests from a daycare, gymnastics club, band, etc. 6. Approval Process Final approval will come from the Standing Committee for Parks, Recreation and Culture. The mandate of the Standing Committee is to adjudicate the applications and seek approval from Council. The authority to approve Saskatchewan Lotteries Community Grant Funding has been delegated to the Director of Parks, Recreation and Culture by Town Council. The questions on the application form provide a framework for the applicant to provide considerable detail regarding the purpose, impact, scope and importance of the proposed program. The review, adjudication and approval process takes approximately two months. All applicants will be notified in writing of the results. 7. Post Approval a. Recognition Organizations that are approved for funding must publicly acknowledge Saskatchewan Lotteries within their activities. Logos will be provided to organizations that are approved for funding. b. Initial Payment No initial payments will provided, however organizations who require funding prior to the commencement of the program may receive upon special circumstances. Organizations are required to identify such need at the time of application. c. Follow-up Report This Report must be submitted to the Town of Assiniboia within 1 month of the completion of the program or by March 7, 2014, whichever occurs first. Failure to meet this deadline will jeopardize the grant payment and all future Town of Assiniboia grant requests.

Terms Of Reference Leisure Service Advisory Committee Date of Meeting: Item: 3 Location: Asaskan Forum SASKATCHEWAN LOTTERIES COMMUNITY GRANT PROGRAM Investing in Sport, Culture, Art and Recreation Application Form 2013-2014 Complete all sections of this form in the space provided. Type-written applications are preferred. Submit separate applications for each program. This application is for one-time funding for programs occurring between April 1st and March 1st. Submit a copy of this completed application form and attachments or E-mail a copy of the completed application form and attachments to rec.assiniboia@sasktel.net Keep one copy of this completed application form and attachments for your records. Numbered all attachments 1. ORGANIZATION (use legal name) Contact Person: Mailing Address: Telephone No: Email Address: 2. Alternate Contact Contact Person: Mailing Address: Telephone No: Email Address: 3. Program Name: 4. Amount Requested (Not to exceed $2000) 5. Organization must have appropriate liability and participants insurance in place. Yes No

Organizational Capacity and Program Plan 6. What is the mandate of your Organization? What are the goals of your organization? 7. Provide a complete program description. Include detailed information on what activities are planned, the cost for each activity, what equipment will be purchased, if any, and which expenses grant funds will be used for. 8. What are the program objectives 9. What is the focus of the program (choose all that apply) Sport Culture or Art Heritage Performing Arts Cultural Celebrations Arts & Crafts Recreation Literary Music Cultural Awareness 10. What is the program start date? 11. What is the program end date? 12. How many weeks is the program? 13. What days is the program offered? 14. What time is the program offered? 15. Total number of hours? 16. Where is the program offered? 17. Anticipate # of participants/day? 18. Anticipated total # of participants?

19. What is the age range of the participants 2 to 12 yrs. 13 to 19 yrs. 20 to 29 yrs. 30 to 55 yrs. 55 yrs. + 20. Is there a cost for participants to participate? Yes Explain the fees: No Explain Why: 21. What key success indicators (results or outcomes) will be used to determine the success of the program? 22. Has this program been offered before? Yes No If yes, describe what outcomes where achieved and provide highlights of the most recent program evaluation Community Impact and Benefits 23. Describe the impact and benefit of the program to the community.

24. How Many volunteers are expected to be involved? 0-10 11-25 26-50 50+ 25. How do you plan to acknowledge Saskatchewan Lotteries as the source of funds for the project? Posters Promotion Items Banners Newspaper Community Radio Newsletter Word of Mouth Bulletin Board Speeches Other Unique and/or Grass Root Program 26. What is unique about this program? How is it different from other existing programs? Target Population 27. Is the program planned for participants from one of the following groups Aboriginal people Children and teenagers (especially youth at risk) Persons with a disability Economically disadvantaged individuals or families Inactive Seniors Accessibility 28. Describe how this program is accessible to the public and who can participate

Program Budget Income/Revenue (Indicate whether revenue is confirmed or projected) Grant funding from 1. 2. Fundraising Cash Donations Sponsorship In-Kind Contributions (non-cash) Registration or participant fees 1. 2. 3. 4. Other Revenue Sources 1. 2. 3. 4. Funding Requested through this grant TOTAL REVENUES Confirmed Projected Total Amount EXPENDITURES (Identify in-kind expenditures with an asterisk*) Facilities Equipment costs (provide a list of equipment to be purchased or rented) 1. 2. 3. 4. 5. Participant Transportation Staff Salaries (specific number of employees, hours of work and wages) 1. 2. 3. Other Expenditures 1 2 TOTAL EXPENDITURES Indicated expenses to be funded by grant PROJECT DIFFERENCE

Use of Money The organization hereby agrees to use any money or services provided to the organization pursuant to the Saskatchewan Lotteries Community Grant Program only in the manner set out in this application. The Town of Assiniboia reserves the right to demand, at any time, the return of any monies unexpended by the organization if the organization uses the money in a manner that, in the opinion of the Town, is inconsistent with the objectives of the Saskatchewan Lotteries Community Grant Program or with the Organization s description in this application. Incident Notification The organization shall notify the Town of Assiniboia of any incident that it becomes aware of that may result in a claim against either the organization or the Town, including, but not limited to such losses as, property damage to Town assets, third party property damage, injury or death of any organization member, employee, instructor or volunteer and any third party bodily injury. The organization shall provide the notification to the Town within 7 days of the organization becoming aware of the incident. Indemnity The organization hereby agrees to save harmless and indemnify the Town of Assiniboia, its representatives, successors, assigns, servants, employees and agents against any and all claims, liabilities, demands, damages or rights or causes of action whatever, made or asserted by anyone arising out of or incidental to the application or to the use of any money or services provided to the organization pursuant to the Saskatchewan Lotteries Community Grant Program. Signature In making this application, we the undersigned Board Members/Executive Director hereby represent to the Town of Assiniboia and declare that to the best of our knowledge and belief, the information provided in this application and the related attached supporting documents are truthful and accurate and the application is made on behalf of the above-named organization and with the Board of Director s full knowledge and consent Board Member (print) Signature Position Date Board Member (print) Signature Position Date