Sideline Learning

Support4Sport Individual Official Initiative Application

Prior to starting your application, you will need to register for or log in to a Sideline Learning account.

Benefits of having an account include:

Receive application status updates
Save & edit your application before final submission
Track & manage your PSO safe sport requirements

1Select your provincial sport organization (PSO).

2Click 'Register' - you will be sent to your PSO site to register and complete your application.

1Select your provincial sport organization (PSO).

2Click 'Login' - you will be sent to your PSO site to login and complete your application.

Fields marked as required are not required to save an application, but are required to submit.

Required fields are marked with a *

PSO *

General Information

First Name *

Last Name *

Date of Birth *

Gender *

Which of the following best describes you? *

Do you identify as a person with a disability? *

Do you identify as a member of the 2SLGBTQI+ community? *

Do you identify as a newcomer to Canada? *

Your Sport *

Select your Provincial Sport Organization (PSO)

Contact Information

Email Address *

Confirm Email Address *

Sport Nova Scotia Updates

Yes, I would like to receive information about Sport Nova Scotia’s programs and events!

Street Address *

Unit / Apt. # *

City *

City

Province / Territory *

Postal Code *

Primary Telephone *

Alternate Telephone *

Official Profile

Officiating Identification # *

Please write N/A if not applicable.

Current Officiating Level *

YEARS involved with sport as an Official *

Results Profile

Highlight your best and most recent achievements and awards. Use additional entry space as needed.

Event/Award/Achievement (eg. Canada Summer Games) *

Date *

Club or Organization Represented (eg. Volleyball Canada)) *

Performance (eg. Officiated the gold medal match in Women's competition) *

Additional Results Information

Goals *

In the space provided, describe your officiating, performance and professional development goals for the next 1-2 years.

Plans *

In the space provided, please describe your officiating plans for the next 1-2 years. Include details of your professional development schedule, training and competition leadership roles.

References

Please provide the names and contact information for three (3) references that can comment knowingly on your officiating endeavours. These may include a mentor official, a peer official, the Provincial head official, academic supervisor / guidance counsellor, or any other individual that can comment on your officiating involvement. Please ensure that your references are aware of your application, they will be contacted.

Reference #1

Full Name *

Please provide the first and last name of your reference.

Relationship to Applicant *

Primary Telephone *

Email Address *

Reference #2

Full Name *

Relationship to Applicant *

Primary Telephone *

Email Address *

Reference #3

Full Name *

Relationship to Applicant Copy *

Primary Telephone *

Email Address *

Budget

Are you applying for (please select one): *

Certification

Initiative

Name of Initiative/Certification *

Location of Initiative/Certification *

Date of Initiative/Certification *

Description of Initiative/Certification *

Describe Initiative / Certification In the space provided, describe the certification or initiative that you are requesting funding for. 1) Applicants must demonstrate that the certification or initiative for which they are requesting financial assistance will move them to higher levels of training and overall performance. 2) Please indicate if there will be a formal evaluation component to this initiative, and if so, who will conduct the evaluation 3) Please advise if this initiative is ever offered within Nova Scotia

Description of Finance Plan *

Describe how you are planning to finance the activities noted above. Using the fields provided in the budget template, applicants must demonstrate a BALANCE between the revenues needed and the expenses associated with the certification or initiative. Add supporting documentation using the upload fields below where necessary to verify costs and potential sources of revenue. Indicate the amount of money you are requesting from Support4Sport and how it will offset the costs associated with this certification or initiative. If a field is not applicable, please enter $0.00. Please be sure to include ALL sources of revenues including (self, PSO, NSO). Support4Sport will not fully fund an initiative without any source of revenues.

Document Upload 1

Choose file

Document Upload 2

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Additional Comments

Budget Template

Please complete all applicable fields below, If there is any extra information you feel is relevant to your budget, please include in the Finance Plan above.

Expenses

Certification Fee

Travel Expenses (including such things as airfare, mileage, rental cars, taxis etc.)

Accomodations (including number of rooms x number of nights x number of occupants x room rate)

Food (estimate the costs of meals e.g., # of meals per day x days or a maximum $45 per diem)

Event Fees

Incidentals

Equipment

Other (1)

Enter details:

Other (2)

Enter details:

Other (3)

Enter details:

Expenses Total:

Revenue

Available from NSO

Available from PSO

Available from CSO

Available from Self

Available from Fundraising

Available from Sponsorship

Other (1)

Enter details:

Other (2)

Enter details:

Revenue Total:

Amount Requested

Revenue-Expenses *

Amount Requested Total:

Amount Awarded

Internal Use Only - Please Leave Blank

Amount Awarded Total:

By submitting this form, I confirm that:

I understand that the Sport Nova Scotia Privacy Policy is accessible at www.sportnovascotia.ca or in electronic or hard copy format by contacting sportns@sportnovascotia.ca or 425-5450.

I understand individuals or organizations receiving funding can have their names and/or organization names published for the purpose of reporting
and/or for use in the media.

I declare that the information presented in this application, to the best of my knowledge, is true and complete.