Home / Funding Opportunities / Funding and Grants / Adaptive Sport Grants / Adaptive Sport Equipment Grant Follow-up Form – Step 2 Adaptive Sport Equipment Grant Follow-up Form – Step 2 ORGANIZATION TYPEI'm submitting the follow-up on behalf of a:* Club or Community Organization Provincial Sport Organization, Multi-Sport Organization or District CONTACT INFORMATIONClub or Community Organization*Contact Name*Position*Phone*Club or Community Organization Email* Website* PSO/MSO/District*Contact Name*Position:*Phone*PSO/MSO/District Email* PSO/MSO/District Fiscal Year* GRANT INFORMATIONPlease refer to the Terms and Conditions Agreement Form for the grant information.Grant Number*Grant Amount Received*Grant Period* PROGRAM INFORMATIONProgram Name*What sport(s) did your program involve?*Program Start Date*(dd/mm/yyyy)Program End Date*(dd/mm/yyyy)Number of Weeks*Program Times*Location(s)*Which communities/towns had participants that benefitted from the equipment?* Use the + to add information Please provide a description of how the equipment was utilized within the program, frequency, number of participants who utilized the equipment, highlights, etc.* Please list the number of athletes that participated in the program:*Age GroupsMale AthletesFemale AthletesSelf-Described Gender AthletesAthletes with a DisabilityAthletes of Indigenous Ancestry Please note: A person may be included in up to three columns (Ex. A 12 year old female with a disability who is of Indigenous ancestry). Was the program led by a qualified coach or instructor?* Yes No What is the name(s) of the qualified coach or instructor?* Use the + to add information Please explain how the Adaptive Sport Equipment Grant impacted the sport program?*Please explain how the sport equipment benefited the participants (Ex. observations, testimonials and/or quotes).*Was there training, certification or skill development opportunities offered to coaches/instructors?* Yes No Use the + to add information*Number of coaches trainedType of training Use the + to add information Was there training, certification or skill development opportunities offered to officials?* Yes No Use the + to add information*Number of officials trainedType of training Use the + to add information Was there training, certification or skill development opportunities offered to volunteers?* Yes No Use the + to add information*Number of volunteers trainedType of training Use the + to add information How did the training for coaches, officials and/or volunteers positively impact participants and overall sport program?*Were any sport medicine and science services used?* Yes No What sport medicine and science services were used? (check all that apply) Sport Nutrition Strength and Conditioning Mental Training Injury Care / Prevention Sports First Aid Other Other* Please describe how the equipment supported your program’s outcomes (qualitative and quantitative), including any specific examples.* SASK LOTTERIES PROMOTIONHow was Sask Lotteries promoted? (check all that apply)* Signage (posters, banners, etc.) Print ads Website Social media Event announcements Promotional items Other: * PROGRAM AND EQUIPMENT FEEDBACKWhat feedback did you receive informally from participants and/or caregivers?Based on conversations or feedback, what aspects of the program and equipment did participants value the most, and why?Were there any common suggestions or concerns raised by participants?What changes, skills or benefits did participants report (Ex. Increased confidence, physical activity, sense of belonging)?How did the program and the equipment contribute to positive outcomes for participants? Please provide examples or participant quotes if available.Did participants identify any barriers to participating in the program? Please attach as much supportive information as possible, such as photographs of the participants using the equipment, quotes from the people who participated and/or copies of the evaluations forms. Drop files here or Select files Max. file size: 32 MB. FINANCIAL BUDGETPlease outline all actual revenues and equipment expenses. Revenues*RevenuesAmount Expenses*ExpensesAmount TOTAL SURPLUS (DEFICIT) FINANCIAL DOCUMENTION (RECEIPTS)This field is hidden when viewing the formUploaded ReceiptsUploaded Receipts You are able to open and review the uploaded receipts by clicking on the file name(s) below: For each receipt uploaded, you must also provide the following information:EXPENSESDate of Receipt (dd/mm/yyyy)Supplier Name (purchased from)Name of EquipmentAmount Use the + to add information TOTAL EXPENSES CLUB/COMMUNITY ORGANIZATION DECLARATIONOn behalf of the Club/Community Organization, I hereby agree that the terms and conditions outlined in the guidelines have been adhered to and the information presented in this follow-up report is correct and true.* Yes No Club or Community Organization Signing Authority Name*Position* DECLARATION INSTRUCTIONSClub or Community Organization: Once completed, please send the link to the PSO/MSO/District by clicking on the ‘Club or Community Organization: Send link to PSO/MSO/District’ link at the bottom of the form. PSO/MSO/District’s Declaration: Click the ‘PSO/MSO/District Only – Declaration’ button to proceed to the PSO/MSO/District declaration section. PSO/MSO/DISTRICT DECLARATIONPlease Note: A copy of the PSO/MSO/District audited financial statement is required when it becomes available. Revenues (Trust Fund revenue) and expenditures (Categorical Grants) for this grant must be clearly identified either in the body of the statement or in the schedules or notes to the statements. The Adaptive Sport Equipment Grant revenues and expenditures will be identified as a separate line item within the PSO/MSO/District audited financial statement?* Yes No Please refer to the Adaptive Sport Equipment Grant Guidelines as this is a requirement. On behalf of our organization, I have reviewed the Adaptive Sport Equipment Grant Follow-up form.* Yes No On behalf of our organization, I am endorsing the Adaptive Sport Equipment Grant Follow-up Form.* Yes No Please explain why your organization is not endorsing the Adaptive Sport Equipment Grant Follow-up.* PSO/MSO/District Signing Authority Name*Position*PSO/MSO/District Email* Once complete hit ‘Submit’. CAPTCHA