Grants Portal Please complete all required fields in the form below and ensure all information is accurate before submission. SG201 – Short Term Local Expert Application Step 1 of 5 20% Part A – Your DetailsAmount Requesting(Required)Enter amount requesting in numerical values only. For example: "20000" for $20,000.1. Name of Organization(Required)Mailing Address:(Required)Phone(Required)Fax(Required)Email(Required) Enter Email Confirm Email Contact Person:(Required)Position in the Organization:(Required) Part B – Local Expert Details2. Name of proposed local short term expert:(Required)3. Local Expert’s Bio Data/Resume or CV to be attached.(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. 4. Is your local development expert an accredited coach?(Required) Yes No 5. Is this part of your 4 Year Development plan?(Required) Yes No 6. Please advise if your organization had requested for funding for a local short term expert in the past?(Required) Yes No Provide details for requested funding in the past:(Required)7. Which areas in the country have you extended your development and coaching programs?(Required)8. How many qualified/certified development officers does your sporting organization have?(Required)Development Officers Total:(Required) Males Females Males(Required)Enter Number of MalesFemales(Required)Enter Number of Females9. Justification for amount requesting: What was the outcome of your 2 year previous funding?(Required)10. Where is your local short term expert to be based?(Required) Part C – Budget Details11. Please provide a detailed budget amount of the costs Involved:(Required)12. Which of budgetary items will your organization? contribute?(Required)13. Have you sought financial assistance from other donors/sponsors for this program?(Required) Yes No Provide details for assistance sought from other donors or sponsors:(Required)14. Have you met the FNSC criteria for eligibility to be considered for assistance and grants?(Required) Yes No Part D – Application ChecklistWith your completed and signed application form SG201, you must include (Check all that apply:):(Required) Certified copies of Identity Page – Personal details of the Short Term Expert for Local Development Copy of Bio Data/ Resume/CV Accreditation certificates Listing of Donors/Sponsor contribution Full Budget Details for this Local short term expert Select AllContinue to attachment on the next page. Part D – Application Checklist (Attach Documents)Certified copies of Identity Page – Personal details of the Short Term Expert for Local Development(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Copy of Bio Data/ Resume/CV(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Accreditation certificates(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Listing of Donors/Sponsor contribution(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Full Budget Details for this Local short term expert(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Any Other Documents: Drop files here or Select files Max. file size: 32 MB. Part D – Application Checklist (Officer Submitting Proposal)Name of Officer Submitting Proposal(Required)Position in the Organization(Required)Date of Submission(Required) Phone(Required)Fax(Required)Email(Required) Applicant Name (Digital Signature)(Required)Typing your name acts as your digital signature confirming the information provided is accurate.Declaration(Required) I confirm that the information provided in this application is true, complete, and accurate to the best of my knowledge. Before submitting this application, please review the Privacy Policy and Terms & Conditions. By submitting this form, you confirm that you have read and agree to these policies and that the information provided is accurate.
