MLSE Launchpad

Agency Information
Name of Agency/Group:
Annual Operating Expenses:
Liability Insurance:
Phone Number:
Website:
Mailing Address:
Contact Person:
Position:
Email:
Program Information
Program Name:
Description of program:	Please briefly describe the work you would like to do at MLSE LaunchPad (max 500 words)
Age of Participants:
Demographic of the population served:
Is this a pilot program?:
How is this program supporting Positive Youth Development?:	Max 150 words
Are there registration fees?:
If yes, how much are registration fees?:
How do you incorporate youth voice into the program design?:	Max 250 words
What are the expected outcomes of the program?:	Max 250 words
If this is not a sport program, how to you believe sport / recreation will enhance the program?:
Program Requirements
How many staff currently run the program?:
What qualifications are required for for staff?:
If you have volunteers, how many volunteers support your program?:
How many days a week does this program run?:
How many hours a week does this program run?:
What is the maximum number of participants that can be registered in the program?:
What is the minimum number of participants that must be registered?:
Please tell us what groups you are most likely to serve at the hub:	Children Youth Seniors Newcomers Other
Please attach the program schedule to outline the amount of days and hours the program will run:	Upload file
What space will your program require?:	Atrium (max 30 persons) Kitchen Single Classroom (max 40 persons) Double Classroom Toronto FC Court Toronto Raptors Court Toronto Maple Leafs Pad Rockwall
Other Requirements:	Are there other physical features that would have to be in place to make MLSE LaunchPad work for your organization/clients? (Example: child care space separate from program or office space; specific barrier-free features or specific features like additional storage space in some of the rooms you use). Please specify the features you need.

Partnership Inquiry