Fondo promozione di progetti di animazione e formazione sportiva
Transcript
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 _____________________________________________________________________