Low Income Coach Bursary Final Report - Coaches Association of Ontario

***YOU DO NOT NEED TO SIGN IN TO COMPLETE THIS FORM***

In order to receive your bursary for workshops or evaluations taking place between April 1, 2023 and March 31, 2024. Deadline to submit final report is March 31, 2024

You must attach a copy of your receipt and provide proof of completion in order to receive the Bursary.

Personal Information

First Name *

Last Name *

Address

City/Town *

Postal Code *

Email *

Did you pay for the workshop?

Yes

No, my club/organization covered the cost

Club/Organization Information

Club/Organization

Cheque will be addressed to this name

Club/Organization Contact Name

Club/Organization Contact Phone Number

Club/Organization Contact Email

Club Address

City/Town

Postal Code

Coaching Information

Select Your Sport

NCCP # *

Enter 00000 if you do not have a number. To get a NCCP# visit https://www.coachesontario.ca/nccp-training/getting-your-nccp/

Workshop/Course *

Workshop/Course End Date

Location *

I am submitting Proof of Payment and Completion for

Completion Documents

Attach your Proof of Completion *

Maximum upload size: 52.43MB

This can be a copy of your locker transcript, a letter/email from the Learning Facilitator or your Provincial Sport Organinzation (PSO) stating that you completed the course.

If your PSO or LF has sent us a classlist from your workshop as proof of completion, please provide us with their contact information. Failure to do so may result in you not receiving your Funding

Attach Your Proof of Payment. (A copy of your Receipt, credit card statement, bank statement or a cashed cheque). *

Maximum upload size: 52.43MB

Other Comments

By checking this box *

I certify that I am the person above and that all information is true and accurate.

I certify that I meet the criteria outlined on the coach eligibility page.

Confirmation

***IF YOU ARE NOT TAKEN TO THE SUBSCRIBE PAGE AFTER SUBMITTING PLEASE REVIEW YOUR INFORMATION AND FIX ANY FORM ERRORS INDICATED IN RED.***
Alternative Options to Submit Documents: Fax – 416-426-7331 Mail – 1 Concorde Gate, Suite 200A, Toronto ON, M3C3N6