City of London Affiliate Program Background The City of London Affiliate Program allows non-profit minor, and non-profit adult sports groups to register with the City to receive reduced fees and priority bookings. Objectives / Guiding Principles Non-profit minor and adult sports groups are the primary providers of organized sport in the City of London. The City of London along with other Municipalities across Ontario and Canada, recognize that affordable access to recreation facilities is an important factor in ensuring maximum participation in sport and other programs that promote physical activity and a healthy lifestyle. Benefits Sport organizations that receive affiliate status will have the opportunity to book sport facilities (ice, fields, and diamonds) prior to non-affiliate groups or commercial bookings. Sport groups with affiliate status will also receive the reduced affiliate rental rate. Organizations that are Eligible for the Affiliate Status Affiliate status is available to non-profit, volunteer-based organizations whose membership is made up primarily of London residents. Eligible organizations must be guided by a constitution and bylaws. Furthermore, organizations will have an elected board of directors who serve without remuneration, except for reasonable expenses incurred in the carrying out of their duty as Director. Organizations that are Not-Eligible for the Affiliate Status Affiliation status is not available to: Organizations whose primary interest is in promoting professional association or business opportunities. Organizations whose main purpose if to further the aims of a religious organization or to promote religious doctrine. For-Profit Organizations National or Provincial organizations. Social service organizations.
Organization Information This application package includes a few short questions for you to respond to and a checklist of documents you must submit to support your application. Organization s Name: Address: Postal Code: Website: Telephone: Fax: E-mail: Contact for general inquiries: I understand that all information provided by myself, as the applicant, and contained within the application form and any applicable attachments will be used to evaluate and recommend affiliation status. Contact Person: Signature: Please complete the contact information for City of London staff to be able to communicate with you regarding your application to this program. Address: Postal Code: Telephone: Fax: Email: This application is being submitted to the City of London s Affiliation program. I have reviewed the entire application submission and all information provided is true and accurate to the best of my knowledge and understanding. Signature Print Name Date Signature Print Name Date Notes: Two (2) members of the executive (signing officer) must sign organization application.
1. Outline the mission, purpose and objective of the organization. 2. When was your organization formed? 3. Is the organization a Non-Profit, volunteer driven organization? [ ] Yes 4. Does the organization have Charitable Status? [ ] Yes: please provide the number 5. Does the organization have any paid staff? [ ] Yes: How many? 6. Does your organization currently have a screening policy or process for your volunteers / paid staff? [ ] Yes: What is the process 7. Does your organization have its own bank account? [ ] Yes: Which Board positions have signing authority? 8. What is the Term of office for Executive Members? 9. How often does the organization meet per calendar year? 10. What is the date of the Annual General Meeting?
11. How do you verify proof of residency of your members / participants? 12. How many members does your organization have? 13. Of the number noted above, how many are residents of London? 14. If more than 35% of your members are not residents of London, please outline the exception your organization meets. 15. Organization membership summary a. Number of members by age: members are below the age of 13 members are between of the age 13 18 members are between of the age 19 24 members are between of the age 25 54 members are above the age of 55 Total Membership: b. Programs offered by your organizations are primarily serving: [ ] Children (below the age of 13) [ ] Youth (between the age of 13 24) [ ] Adults (between the ages of 25 54) [ ] Senior Adults (55 years of age and older)
Application Checklist Please review this check list prior to submitting your application. The following items that support you application must be submitted with this application form. Minutes of the most recent general membership meeting Financial reports, including income statements and balance sheets Registration lists from the previous season. The registration list must contain: o Age o Postal code o Gender A copy of your Not For Profit Certificate or your registered charitable number Has your organization submitted an application to the City of London Affiliation program in the last 2 years? If yes, please contact Vicki Cloes at 519-661-2500 ext.2586 for a revised checklist as our files may already contain some of the items required. * Each organization will be required to have all their members sign a waiver (at the time of the organizations registration), which allows the organization to release their participant s personal information to the City of London. If you have any questions please contact Vicki Cloes at 519-661-2500 ext. 2586 or vcloes@london.ca or Mike Vandertuin at 519-661-2500 ext. 5197 or mvandert@london.ca.