Athlete'S Notice Of Appeal Template Page 3

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2016-2017 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 12 noon on January
30, 2017. 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
th
777 Bay Street, 18
Floor, Toronto ON M7A 1S5
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, and the date
the information was provided. (Note: This Appeal will not be accepted unless it contains a
response from your PSO/MSO.)
Date of PSO response:__________________
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