Pilot Community Application Form
Aboriginal Role Model Program
Applications Due Friday August 25, 2006
In partnership with the Aboriginal Sport Circle (ASC), the Esteem Team Association (ETA) has received funding from Sport Canada to develop an Aboriginal Role Model Program for Aboriginal communities across Canada with the goal of athletes and physically active Aboriginal Role Models inspiring young Aboriginals to take a leadership role in sport, recreation and physical activity within their own communities.
At this time, eight (8) pilot communities require selection for participation in the pilot phase of the project. For the purposes of the pilot (September 2006 - December 2006), the ASC and ETA are requesting interested Aboriginal communities to apply for consideration as a pilot community by completing the Pilot Community Application Form according to the criteria, needs and descriptions as detailed below:
General considerations:
The ASC and ETA have established some objectives they will consider in selecting the eight pilot communities from the nominated communities list, as follows:
Please proceed to complete the application form on the next 2 pages.
Please answer the following questions to the best of your ability.
We will review all applications and may call to gather more information if needed. We will let you know the status of your application by September 25, 2006. In the event that your community is not selected for the pilot phase of the program, your application will be kept for future consideration when the next phase of the program rolls out with an expanded number of communities after December 2006.
Thank you again for expressing your interest in the Aboriginal Athlete & Youth Role Model Program.
Fax or e-mail your completed form by Friday August 25, 2006 to:
e-mail: shelly@esteemteam.com fax: (613) 789-9204
For more information, click on the following word documents:
06-07-14-Pilot-Community-Application-Form.doc
06-07-14-About-the-Role-Model-Program.doc
06-07-14-Call-for-Pilot-Communities.doc
----- Original Message -----
From: Rod Jacobs
To: Rod Jacobs
Sent: Thursday, July 27, 2006 1:29 AM
Subject: FW: Aboriginal Role Model Program
Would young people in your community benefit from having an Aboriginal role model meet with them to discuss sport in your community, what is good about it, what could be better and how they can take action themselves to create a positive sense of self through their interaction with sport and physical activity in their own community?
If you think this is something your community would like to be a part of, we are looking for 8 pilot communities in which to conduct the preliminary program. The attached documents will provide you with more information on the origins of the program and how it is expected to develop.
If your community is interested in applying to be a pilot community then here's what you need to do by Friday August 25, 2006:
Complete the attached Community Application Form and send it to Shelly O'Brien, Executive Director Programs for the Esteem Team Association at:
E-mail: shelly@esteemteam.com FAX : 613-789-9204
Rod Jacobs
Manager - High Performance Programs
Aboriginal Sport Circle
Akwesasne Mohawk Territory
R.R. #3
Cornwall Island, ON K6H 5R7
(613) 938-1176, ext 23
(613) 938-9181 - fax