Quest For Gold Athlete Appeal Template

2013-2014 Quest for Gold – Ontario Athlete Assistance Program
Athlete’s Notice of Appeal Template

The deadline for an athlete to submit an appeal to the Appeals Committee is 4:00 p.m. on November 5, 2013 for Cycle 1 or 4:00 p.m. on January 27, 2014 for Cycle 2. Appeals will only be accepted on the MTCS-provided Notice of Appeal template.  Please refer to the appeals section of your PSO/MSO’s Athlete Selection Criteria document prior to completing this form.

 

Return form to:

Quest for Gold Appeals Committee

c/o Ministry of Tourism, Culture and Sport

Sport, Recreation and Community Programs Division

777 Bay Street, Suite 2302, Toronto ON  M7A 1S5

Fax: 416-314-7458     Email: Scott.Cooper@ontario.ca

 

Full Name

Address                                                                                               City

Postal Code                                        Phone                                      Email

Sport / PSO

 

Reason for Appeal (Check all that apply):  

Whether or not the PSO/MSO has completed the selection process in accordance with its own published selection criteria and related procedures;

Whether or not the PSO/MSO applied the section criteria in a manner that was free from bias, discrimination and/or conflict of interest.   

 

Provide a two-line summary of the reason for the appeal:  

 

 

 

In the space below, (continue on to next page as needed) provide the reasons communicated to you by your PSO/MSO as to why you were not nominated for an Ontario Card.  (Note: If your PSO/MSO did not provide you with any reasons, please make a request to your PSO/MSO to see these reasons before completing this Appeal Template.)

 

In the space below (continue on to next page as needed), provide a detailed account of the situation to allow the Appeals Committee to understand the basis of the appeal (please submit additional pages/supporting documentation as necessary):

PLEASE NOTE that all decisions of the Appeals Committee are final.

 

Print Name of Appellant                      Signature of Appellant                                     Date

All information provided to the Appeals Committee will be shared with both the Appellant and the PSO/MSO.

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