Application for
DCAS Sport Funding
2017−18
PLEASE NOTE ALL APPLICATION FORMS MUST HAVE THE FOLLOWING
ATTACHMENTS:
No ATTACHMENTS TICK
1. Narrative & Financial Report of how DCAS funds was disbursed
2. Copy of Signed AGM minutes
3. Financial Report or Audited Financial Statement
(Financial Statement must reflect income received from DCAS and an expenditure
report reflecting Administration, Development, Capacity Building or Transformation
funding)
4. Confirmation letter if funds were received outside of the financial reporting period
5. Signed and dated Constitution (if amended at last AGM)
6. Bank stamped EFT fully completed
7. Annexure 1: Federation Audit (Application will not be considered without the
completion of Annexure 1)
8. Annexure 2: DCAS funding receipt schedule
9. Annexure 3: District Academy Codes
10. Annexure 4: Club Development Programme
11. Event Report
12. Letter of Good Standing from District Sport Council
Application completed by:
Capacity of applicant:
Signature of applicant:
Signature of Chairperson:
Date:
DEPARTMENT OF CULTURAL AFFAIRS AND SPORT
SPORT AND RECREATION FUNDING APPLICATION 2017-18
SECTION A:
FEDERATION PROFILE
1. CLIENT PROFILE:
Name of Federation ____________________________________________________
Contact Person ________________________Capacity: __________________
Address: ____________________________________________________
____________________________________________________
Home no: ____________________________________________________
Work no: ____________________________________________________
Mobile No: ____________________________________________________
Fax no: ____________________________________________________
Chairperson E-mail: ___________________________________________________
Address: ____________________________________________________
Secretary E-mail: ____________________________________________________
Treasurer E-mail: ____________________________________________________
Web Address: ____________________________________________________
(Please complete this section if the Chairperson’s details have
changed)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Application for DCAS Sport Funding 2017−18 4
Capacity Name and Surname Gender Demo-
graphics
Contact
No
ID Number
a. Chairperson
b. Vice-
Chairperson
c. Secretary
d. Treasurer
e. Development
Officer
f. Women and
Girls
Representative
g. Transformation
Officer
h. School Sport
Representative
i. Paid Staff,
if any
j. Other
2. Is the Federation unified?
3. Are you affiliated to the District Sport Council?
4. Date of your federation’s last Annual General Meeting:
__________________________________________________________________________________________
(Attach AGM minutes signed by the Chairperson)
5. List the number of clubs affiliated to the Federation:
_________________________________________________________________________________________
(Complete Annexure A1)
6. List the federation’s ranking at National level: _____________________________________________
YES NO
YES NO
Application for DCAS Sport Funding 2017−18 5
7. List the number of provincial players selected for the national squad:
________________________________________________________________________________________
8. Federation sport code season (calendar months): _______________ to _____________________
9. Does the federation host an annual awards ceremony of recognition? ___________________
_______________________________________________________________________________________
10. FINANCIAL INFORMATION
10.1 Stipulate financial year end: ___________________________________________________________
10.2 Banking Account Details: (Please complete EFT bank form)
Name of Account Holder: _____________________________________________________________
Bank: _____________________________________________________________
Type of Account: _____________________________________________________________
Account Number: _____________________________________________________________
Branch Number: _____________________________________________________________
10.3 Complete Financial Receipt Schedule of funds received from the Department for the period,
2015−16 and 2016−17 (Complete Annexure 2)
10.4 Please attach audited financial statements of the federation as accepted at the last AGM of
the federation.
Application for DCAS Sport Funding 2017−18 6
SECTION B:
FUNDING APPLICATION FORMS
This section consists of the following:
A. FORM B1: ADMINISTRATION GRANT
B. FORM B2: PROJECT SPECIFIC APPLICATIONS:
Development (Education and training, coaching clinics, etc)
C. FORM B3: TRANSFORMATION PROJECTS
D. FORM B4: CAPACITY BUILDING PROJECTS
E. FORM B5: TRAVEL TO NATIONAL EVENTS
F. FORM B6: TRAVEL TO INTERNATIONAL EVENTS
G. FORM C: HOSTING OF MAJOR EVENTS
H. FORM D: ACADEMIES
I. FORM E: CLUB DEVELOPMENT
Application for DCAS Sport Funding 2017−18 7
Form B1
SECTION B1
ADMINISTRATION GRANT
INCOME EXPENDITURE
DETAILS RANDS DETAILS RANDS
TOTAL TOTAL
BUDGET DEFICIT/ SURPLUS
Application for DCAS Sport Funding 2017−18 8
Form B2
SECTION B2
DEVELOPMENT PROJECTS
PROJECT NAME: ______________________________________________________________
IDENTIFIED AREA: ______________________________________________________________
PROPOSED DATE OF THE EVENT: ______________________________________________________________
TARGET GROUP: ______________________________________________________________
PROJECT OBJECTIVES: ______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
INCOME EXPENDITURE
DETAILS RANDS DETAILS RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
Application for DCAS Sport Funding 2017−18 9
Form B3
SECTION B3
TRANSFORMATION PROJECTS
PROJECT NAME: ______________________________________________________________
IDENTIFIED AREA: ______________________________________________________________
PROPOSED DATE OF THE EVENT: ______________________________________________________________
TARGET GROUP: ______________________________________________________________
PROJECT OBJECTIVES: ______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
INCOME EXPENDITURE
DETAILS
RANDS
DETAILS
RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
Application for DCAS Sport Funding 2017−18 10
Form B4
SECTION B4
CAPACITY BUILDING PROJECTS
PROJECT NAME: ______________________________________________________________
IDENTIFIED AREA: ______________________________________________________________
PROPOSED DATE OF THE EVENT: ______________________________________________________________
TARGET GROUP: ______________________________________________________________
PROJECT OBJECTIVES: ______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
INCOME EXPENDITURE
DETAILS
RANDS
DETAILS
RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
Application for DCAS Sport Funding 2017−18 11
Form B5
SECTION B5
TRAVEL TO NATIONAL EVENTS
PROJECT NAME: ______________________________________________________________
IDENTIFIED AREA: ______________________________________________________________
PROPOSED DATE OF THE EVENT: ______________________________________________________________
TARGET GROUP: ______________________________________________________________
PROJECT OBJECTIVES: ______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
INCOME EXPENDITURE
DETAILS
RANDS
DETAILS
RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
Application for DCAS Sport Funding 2017−18 12
Form B6
SECTION B6
TRAVEL TO INTERNATIONAL EVENTS
PROJECT NAME: ______________________________________________________________
IDENTIFIED AREA: ______________________________________________________________
PROPOSED DATE OF THE EVENT: ______________________________________________________________
TARGET GROUP: ______________________________________________________________
PROJECT OBJECTIVES: ______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
INCOME EXPENDITURE
DETAILS
RANDS
DETAILS
RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
Application for DCAS Sport Funding 2017−18 13
SECTION C
(COMPLETE ONLY IF HOSTING A MAJOR EVENT IN 2017−18)
MAJOR SPORT AND RECREATION EVENTS
FEDERATION: __________________________________________________________________________
1. EVENT DETAILS:
1.1 Type of Event: __________________________________________________________________________
1.2 Date of Event: __________________________________________________________________________
1.3 Event Status (mark with X in appropriate box)
International
National
Provincial
Regional
Other
1.5 Objective of the Event _______________________________________________________________
1.6 Venue/s where the event is to be held:
Organisation/Company Name
Contact Person:
Telephone Number:
Cell phone Number:
E-mail address:
Address: (Physical):
2.1 Resource Contribution of partner: (mark with X in appropriate block)
Financial
Administrative
Marketing
Other
Application for DCAS Sport Funding 2017−18 14
2.2 Does the event enjoy the support and endorsement of the concerned National federation?
(If yes please attach the letter of endorsement and support)
3. PARTICIPANT DETAILS
3.1 Participant Target Audience (mark with X in appropriate box)
TYPE X
International
National
Provincial
Regional
3.2 List the Countries, Provinces or Regions participating
Country/Province/Region Anticipated
Numbers
YES NO
Application for DCAS Sport Funding 2017−18 15
3.3 Participant Numbers:
Players
Officials
Male
Female
Disabled
4. EVENT MANAGEMENT DETAILS
4.1 Event manager appointed?
4.2 If yes: please complete
Name of Event Manager/Co-ordinator: _________________________________________________________
Telephone Number: _________________________________________________________
Cell phone: _________________________________________________________
Fax: _________________________________________________________
E-mail: _________________________________________________________
Physical Address: _________________________________________________________
Federation Capacity: _________________________________________________________
5. SECTION C: EVENT HISTORY
5.1 Brief event history:
________________________________________________________________________________________________
________________________________________________________________________________________________
5.2 Did the federation receive previous DCAS funding for this type of event?
(If YES please complete 5.2.1 onwards)
5.2.1 Date of Event _________________________________________________________________________
5.2.2 Event report submitted:
5.2.3 Financial Report
5.2.4 Please list and attach relevant documents if 5.2.2 AND 5.2.3 have not been submitted:
YES NO
Voluntary
Consultant
YES NO
YES NO
YES NO
Application for DCAS Sport Funding 2017−18 16
6. EVENT BUDGET
You are required to disclose all your possible sources of income.
EVENT BUDGET
INCOME EXPENDITURE
DETAILS RANDS DETAILS RANDS
TOTAL TOTAL
BUDGET DEFICIT/SURPLUS
APPLICANT: ________________________________________________________
SIGNATURE OF APPLICANT: ________________________________________________________
CHAIRPERSON: ________________________________________________________
SIGNATURE OF CHAIRPERSON: ________________________________________________________
Application for DCAS Sport Funding 2017−18 17
SECTION D
(DISTRICT SPORT ACADEMY PROGRAMME)
2017−18
Please refer to Annexure 3 for Academy Codes
1.1 Federation: __________________________________________________________________________
1.2 Head Coach: __________________________________________________________________________
1.3 Contact: __________________________________________________________________________
1.4 Coaching Qualification: _____________________________________________________________________
1.5 Number of Athletes in the Academy Programme: ______________________________________________
1.6 Athlete Status (Provide number in appropriate box)
International
National
Provincial
District
Other
1.7 Support required (Mark with X):
SERVICES RENDERED BY
ACADEMIES
1. Talent development
2. Life Skills Programmes
3. Coaching
4. Education and Training
5. Sport Science and Medical
Support
Application for DCAS Sport Funding 2017−18 18
SECTION E
(COMPLETE NOMINATION FORM FOR CLUB DEVELOPMENT INTAKE)
2017−18
(For detailed information regarding the Club Development please refer to Annexure 4)
1.1 CLUB NAME: ____________________________________________________________________________
Club Chairperson: ______________________________________________________________________
Contact: _______________________________________________________________________________
1.2 Club Secretary: ______________________________________________________________________
Physical Address: ______________________________________________________________________
Contact: ______________________________________________________________________________
1.3 Club Treasurer: ________________________________________________________________________
Contact: ______________________________________________________________________________
1.4 District where club resides: _____________________________________________________________
1.5 Municipality: ___________________________________________________________________________
1.6 Support required: ______________________________________________________________________
Clubs Support X Tick the box below
Transport
Equipment
Attire
Capacity Building
1.7 Responsible persons within DCAS: Refer to attached list
Application for DCAS Sport Funding 2017−18 19
Annexure 1
FEDERATION CLUB AUDIT
2016 2017 Target for 2018
Number of Clubs
Number of Clubs in disadvantaged areas
Number of Juniors
Number of Seniors
Number of Members
Number of Male Members
Number of Female Members
Number of Members with a Disability
Number of Females on the Executive Committee
Number of Females on the Executive Committee
LIST OF CLUBS (Attach the list in the format below)
Name of Club
Municipality
Number of
Members
Contact Person and Details
Application for DCAS Sport Funding 2017−18 20
Annexure 2
REPORT OF FUNDING RECEIVED FROM THE DEPARTMENT:
PERIOD: 2015−16 AND 2016−17
2015−16 2016−17 TOTAL
Funding Source
Development
Ad-hoc
Major Event
Transformation
Administration Grant
OTHER
Application for DCAS Sport Funding 2017−18 21
Annexure 3
SPORT ACADEMY CODES
1. Eden District Academy 2. West Coast District Academy
1.1 Football 2.1 Kickboxing
1.2 Cycling 2.2 Judo
1.3 Baseball 2.3 Gymnastics
1.4 Boxing 2.4 Cricket
1.5 Table Tennis 2.5 Netball
1.6 Aquatics 2.6 Athletics
1.7 Netball 2.7 Cycling
1.8 Athletics
3. Overberg District Academy 4. Cape Winelands District Academy
3.1 Football 4.1 Cycling
3.2 Equestrian 4.2 Netball
3.3 Hockey 4.3 Table Tennis
3.4 Boxing 4.4 Tennis
3.5 Athletics
3.6 Rugby 6. Western Cape Sport Academy (WECSA)
3.7 Gymnastics 6.1 Athletics
3.8 Karate 6.2 Swimming
3.9 Cricket 6.3 Canoeing
6.4 Weightlifting
5 Central Karoo District Academy 6.5 Table Tennis
5.1 Netball
5.2 Rugby
5.3 Volleyball
5.4 Athletics
5.6 Hockey
5.7 Tennis
5.8 Football
Application for DCAS Sport Funding 2017−18 22
Annexure 4
CLUB DEVELOPMENT
Clubs are recommended for the DCAS Club Development Programme via the relevant Sport
Federation.
The Federation must be in good standing with the Western Cape Sport Confederation and the
relevant District Sport Council.
Clubs must align to the SASCOC Geo-political boundaries.
Clubs must conform and meet the regulated prescripts of the relevant Federation (meaning:
Clubs must be in good standing and meet all obligations pertaining to their Federation).
Clubs should not be privately owned: An executive structure must be in place (i.e.
President/Chairperson/CEO, Vice Chairperson, Secretary, and Treasurer Etc.)
The club must be governed by a club constitution.
The Executive committee of the club must provide latest contact details.
The club must submit the latest AGM minutes.
Clubs must submit monthly reports, season fixture, list of members and year calendar in line with
the Federation calendar of events.
Clubs may submit a three year development plan.
Clubs must participate in all capacity building courses and initiatives.
Clubs may not qualify for assistance if the above prescripts are not adhered to.
APPLICATION PROCESS:
1. Clubs apply by sending a formal letter to request assistance via the DCAS Club Development
Programme. All documentation stipulated in the criteria guideline must be attached to the request.
2. Applications can be submitted electronically or hardcopy to the Federation and a carbon copy
must be submitted to our Coordinator in the Regional Offices.
3. Consultation process between the CDP component and the relevant Federation.
4. The Federation then signs-off the recommended club/s.
5. The club then receives an official letter of acceptance into the programme from the DCAS Club
Development unit.
Application for DCAS Sport Funding 2017−18 23
PRIORITY SPORT CODES ACCORDING TO SRSA
16 + 1 Principle
The Big Five
Football, Netball, Rugby, Cricket and Athletics
11 Core Group
Hockey, Swimming, Tennis, Table Tennis, Basketball, Gymnastics, Softball, Volleyball,
Goalball, Boxing and Chess
+ 1: Indigenous Games (Recreation)
Morabaraba, Neuva, Dibeke, Kgati, Jukskei, Khokho, Diketo and Iintonga
Type of Support offered to clubs:
The DCAS Club Development Programme supports 2 divisions within a club (meaning: 1
junior and 1 senior division)
Within the 3 years on the programme, clubs should receive the following:
Transport support to league matches (an allocated amount per financial year);
Access to Capacity Building: Education and Training;
At least one of the following: Basic sport equipment/basic playing attire/tracksuits, depending on
the needs analysis done by the Regional Coordinator.