Rotary Request for Financial Support
The Rotary Club of Peterborough welcomes the opportunity to support organizations in need of financial assistance for projects in our community. Please note that we do not fund items or services for individuals.  In order for your request to be considered, please complete the questionnaire below and press submit. We intake requests all year but consider them quarterly on May 10, Aug 10, Nov 10, and Feb 10 with replies by the end of those 4  months.

Policy: WHAT MAY BE FUNDED:

Programs that address food insecurity, homelessness, vulnerable populations (including groups of persons with physical or intellectual disabilities) poverty, seniors, and the environment.

CRITERIA FOR EVALUATING REQUESTS:

•    Have a lasting impact on the community.
•    Support emerging needs in the community.
•    Improve the profile of Rotary in the community.

WHAT WILL NOT BE FUNDED:

•    Items or services for individuals
•    Items that would normally be sponsored/funded by established programs/agencies.
•    Most Operating expenses.
•    Most Infrastructure expenses.
•    Agencies that receive a majority of their funding from all/any levels of gov’t.
•    Sports and sporting events.
•    Travel, conference and registration costs.  
•    Deficit financing or debt relief for community agencies.
•    General fundraising efforts and campaigns sponsored by other charities.

Please be aware the maximum request is $2000.

Thank you
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Name of contact person: *
Organization (if applicable):
Address: *
Phone Number: *
Email Address *
Brief description of the Need/Project for which the funds are required: *
Amount of funds being requested: *
Date the funds are requested: *
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Anticipated length of project and date of completion: *
Have you or your organization requested funds from any other charitable organizations for the same purpose? If yes, please give their name and contact information.
 *

Has the Rotary Club of Peterborough supported you or your organization before?  

 *
What other organizations (charitable or not) are contributing to this request and in what amount?  Please give name or organization, and contact information:
 *

What are the funds being requested to be used for?

 

For example, are the funds to be used for administration costs, purchasing equipment, program delivery expenses, program equipment purchases etc. ?

(Normally, if approved, funds will be paid directly to a supplier or 3rd party that will be providing the product or services pursuant to a written quote).

 *

If to pay for 3rd Party or Supplier, please provide written quote or the following information if no written quote available at this time.

 

Name or contact person:

Company

Address:

Telephone:

Email:

If the organization that is requesting funds prepares financial statements on a yearly basis, are you able to provide them for review?
 *

References:  

Please provide at least one reference letter, or if unavailable, please provide the name and telephone number of an individual who can validate the need of the organization of the individual applying.  The individual must be one of the following: a Physician, Engineer, Registered Nurse, Clergy, Accountant, Lawyer, School principal, Police officer, or any other recognized professional approved by the Club in advance of submission of this form.  

 *
Additional Information for our consideration: 

PLEASE NOTE THAT THE ROTARY CLUB OF PETERBOROUGH (“RCofP”) DOES NOT MAKE ANY REPRESENTATION OR WARRANTY AS TO WHETHER AN APPLICANT WILL BE GRANTED FUNDING. THE “RCofP” RECEIVES MANY APPLICATIONS ON A YEARLY BASIS AND NOT ALL APPLICATIONS ARE ACCEPTED.  THE “RCofP” PROVIDES NOTICE TO ALL APPLICANTS THAT ALTHOUGH EVERY EFFORT WILL BE MADE TO REPLY TO APPLICANTS IN A TIMELY MANNER, THERE IS NO GUARANTEED REPLY TIME, NOR A GUARANTEE OF ANY REPLY WHATSOEVER IN THE EVENT THAT AN APPLICATION IS MISPLACED OR LOST INNADVERTENTLY.  THE “RCofP” RESERVES THE RIGHT TO GRANT FUNDS TO APPLICANTS AT ITS ABSOLUTE AND SOLE DISCRETION AFTER CONSIDERATION BY THE COMMUNITY SERVICES COMMITTEE AND THE “RCofP” BOARD OF DIRECTORS.  APPLICANTS THAT DO NOT RECEIVE A REPLY BACK WITHIN TWO WEEKS OF SUBMITTING THEIR APPLICATION ARE ENCOURAGED TO SEND A FOLLOWUP EMAIL TO CONFIRM RECEIPT OF THE APPLICATION BY THE “RCofP”.

 

THE “RCofP” RESERVES THE RIGHT TO REJECT OUTRIGHT APPLICATIONS THAT ARE INCOMPLETE, FRADULENT, OR CONSIDERED INAPPROPRIATE FOR CONSIDERATION. 

DO YOU AGREE WITH OUR POLICY?

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Date: *
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Please type name of applicant as signature: *
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