2018-2019 Elders in Motion Application for Support
Apply for the Elders in Motion support if you are interested in delivering and sustaining a safe, engaging and culturally appropriate recreational program for older adults in your community.

What will we do for you?
• Help you plan the program and offer ongoing support;
• Offer training and workshops so leaders understand what activities are appropriate and safe for Elders;
• Work with community groups to help organize an Elders in Motion Committee;
• Offer tips and suggestions from other NWT Elders programs;
• Identify way to access funding; and
• Can work with you to obtain future funding to help ensure that the program continues.

Criteria:
• The applicant must plan, organize and deliver a recreational program for Older Adults;
• Organizers must be willing to participate in:
- The Initial Elders in Motion Introduction and Planning meeting
- The Active Living Exercise Program
- The Balls and Balance workshops
• The Older Adult recreational program must plan to meet at least until March 2019 with plans to continue thereafter;
• The successful applicant will be asked to submit a simple final report and respond to corresponding surveys;
• Priority will be given to groups that have not already received Elders in Motion support.

What organization will be leading the program? *
Your answer
Who will be the main contact for program? *
Your answer
What is the main contact persons phone number? *
Your answer
What is the main contact's email address? *
Your answer
Their fax number? *
Your answer
What is your name, if different from above?
Your answer
Community? *
Your answer
Is there currently any Elders programs offered in your community? *
If you answered yes above, please describe the program.
Your answer
Please list people who are interested in taking the training and helping with the program? *
Your answer
What other organizations or groups do you plan to partner with? *
Who else could you partner with for the program?
Your answer
Briefly describe your objectives for the Elders in Motion program you plan to organize. *
Refer to the type of training, target group, program type, types of facilities you intend to use and training you already have.
Your answer
Where will the proposed program take place? *
Your answer
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