CALGARY BOOSTER CLUB
Suite 200 - 6 Crowfoot Circle N.W.
Phone: (403) 541-0609 Fax: (403) 541-0915
CALGARY BOOSTER CLUB ENDOWMENT FUND AWARDS
A $1,000.00 grant is awarded to Calgary athletes who are committed in their pursuit of
excellence. Awards are granted annually. The number of grants is commensurate with the
amount of money available. Please note the following:
1) Your application must be completed in full and accompanied by two letters of
support from coaches and/or sport administrators.
2) The deadline for applications is Friday, January 14, 2011.
1) Awards are based on level of performance and financial need. Athletes should be
competing at a high-performance national/international level in sport and should
demonstrate financial need.
2) Athletes can be receiving Sport Canada or Alberta Foundation funding.
3) Preference will be given to Calgary residents.
Send Applications to:
Send applications to: email@example.com. If you have not received a confirmation
of receipt of application within 5 days, please phone Dawn at: 403-541-0609. If you have
questions, email The Calgary Booster Club at: firstname.lastname@example.org.
Name: Sport: Club:
Address: P. Code: ______
Email:__________________________ ______Date of Birth:______________ Age:_____
Tel:_________________ Occupation:____________________ Calgary Resident: __years
Parent’s Name:___________________ Telephone: __ Occupation:
Address: _P. Code: __________
Summary of Top Athletic Performances: (details of past three years)
Summarize Athletic Performance Aspirations/Projections For Next Year: (If necessary,
attach another sheet.)
Budget from: Sept. 1, 2010 - Aug. 31, 2011 (Academic Year) - Income & Expenses
INCOME (Monthly) EXPENSES (Monthly)
From Parents/Spouse $ Accommodation $
Employment - projected $ Utilities $
Training Allowance $ Food $
Child Support/Alimony $ Transportation $
National Card $ Child Care $
Provincial Assistance $ Other - specify
Club Assistance $ $
Other - specify $
_____ $ $
Total monthly income $ Total monthly expenses $
INCOME (Yearly) EXPENSES (Yearly)
Monthly income x 12 $ Monthly expenses x 12 $
Summer Earnings - projected $ Tuition & fees $
Government Student Loan $ Books & Supplies $
Government Student Grants $ Supplements $
Scholarships/Awards $ Team/Facility Fees $
Sponsors $ Athletic Clothing $
Other - specify Coaching Fees $
_____ $ Equipment - itemize $
_____ $ Other - $
Total income for 1 year $ Total expenses 1 year $
Do you have money in an Athlete Reserve Fund with your NSO? Yes ( ) No ( )
Are you registered in a post secondary educational institution? Yes ( ) No ( )
If yes, proof of registration is required.
List any outstanding debts or loans (other than student loans).
Loan: Amount: $
Do you own or have regular use of a vehicle? Yes ( ) No ( )
If yes, please complete the following:
Make Model Year Current Value $
The expenses should include actual expenses paid by the athlete in order to be part of the
Canadian National Team. If you are asking for additional funds for travel and training
camps, an itemized list of expenses and/or requirements should be enclosed.
Summarize Need For Assistance and Special Circumstances: (attach details if
Attach TWO Letters of Reference (National/Provincial Coach and Administrators) and any
other information you may feel may be relevant.