Sport Program Funding Application
This form is to be utilized by MLA member clubs, teams, leagues, or athletes for support in enhancing new or existing programs or athlete opportunities. For additional information, contact lacrosse.admin@manitobalacrosse.com.
Type of Application
New Club
Existing Club
Team
League
Athlete
Name of Club/League/Team
Contact Name
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Project Name
Sector(s) of Focus
Box Lacrosse
Men's Field Lacrosse
Women's Field Lacrosse
Sixes
Wheelchair Lacrosse
Development Level(s) of Focus for this Project
Active Start (early ages)
FUNdamentals (generally U7, U9)
Learn to Train (generally U13)
Train to Train (generally U15, U17)
Train to Compete (generally U19/Junior, elite-level U17)
Train to Win (Jr A, Senior, International)
Is this program being offered SPECIFICALLY for any of the following demographics? (only select these options if the program is focused solely on these demographics)
Women/girls
Indigenous
New Canadians
Persons with Disabilities
If you selected any of the above options, explain how this demographic is being specifically targeted
Amount Requested
Is the Program New or Existing?
New
Existing
Briefly Describe the Program
Describe the Mission and Vision of the Program
What are the Measurable Outcomes of this Project?
List All Project Leaders and their Roles
List Any Other Stakeholders Involved With This Project
Screening/Certification Requirements for the Coaches/Facilitators
Project Budget
Rows
Name
Quantity
Cost per unit
Expense total
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
TOTAL PROGRAM COST
Other Revenue Sources for this Project (if applicable)
Rows
Source
Amount
Revenue
Revenue
Revenue
Revenue
Revenue
TOTAL REVENUES
Attach any other relevant documents to support your application
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: