Fondo promozione di progetti di animazione e formazione sportiva

SCHEMA DI PRESENTAZIONE DEL PROGETTO
FONDO CITTADINO PER LA PROMOZIONE DI PROGETTI DI ANIMAZIONE E
FORMAZIONE SPORTIVA
SCHEMA DI DOMANDA (allegato A)
Oggetto: Richiesta di ammissione al Fondo Cittadino per la Promozione di Progetti di Animazione
e Formazione Sportiva – Anno ______
Il sottoscritto _____________________________________________________________________
Presidente/Legale Rappresentante della ________________________________________________
con sede in _________________________ via __________________ cap. ___________________
Codice Fiscale o Partita IVA ________________________________________________________
Telefono __________________
Avente natura giuridica di:
-
associazione sportiva:
società sportiva:
cooperativa:
scuola
altro______________________
ο
ο
ο
ο
ο
Iscrizione all’Albo delle Associazioni n. _________
chiede l’ammissione del Progetto denominato
________________________________________________________________________________
________________________________________________________________________________
Allega alla domanda:
- scheda di progetto (allegato B):
ο
- fotocopia di un documento di identità personale in corso di validità
Data, _____________________
Il Presidente o Legale Rappresentante
_____________________________
ο
SCHEDA DI PROGETTO (Allegato B)
1) Titolo del Progetto
________________________________________________________________________________
________________________________________________________________________________
2) Soggetto proponente
________________________________________________________________________________
________________________________________________________________________________
3) Eventuali partners coinvolti (altre associazioni, enti locali ecc.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4) Finalità generali del progetto e articolazione dell’iniziativa
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
5) Descrizione delle attività
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
6) Tempi e fasi di attuazione:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
7) Metodologia:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
8) Soggetti destinatari:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
9) Eventuali collegamenti o integrazioni con altri progetti o attività presenti sul territorio
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
10) Fattibilità (esperienze del proponente, competenze, risorse strutturali, organizzative e di
personale messe a disposizione dal proponente)
--Esperienza
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
- Eventuali strutture previste (ad esempio: campo di calcio, palestre,
)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
- Strumenti/materiali (ad es. attrezzature sportive, mezzi di trasporto, strumentazioni audiovisive…)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
- Personale (istruttori, animatori….)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
11) Curricula professionale degli operatori
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
12) Sistema di valutazione (indicare in che modo si intende valutare il raggiungimento degli
obiettivi del progetto)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
13) Prospetto articolato per voci di spesa (specificare la quota di finanziamento richiesto)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
14) Adesione Dirigenti Scolastici
(da compilarsi da parte dei Dirigenti Scolastici che aderiscono a Progetti rientranti
nell’area tematica ”Sport e Scuola” presentati da terzi e rivolti ad allievi e/o
operatori/insegnanti del Circolo/Istituto da loro diretto)
Il sottoscritto _____________________________________________ Dirigente Scolastico
del ______________________________________________________ dichiara di aderire al
progetto denominato _______________________________________________________________
proposto dal _____________________________________________________________________