Funding Request Application
Proposed Project Name *
Your answer
Organization Name *
Your answer
Address *
Your answer
Contact Name *
Your answer
Phone *
Your answer
Email *
Your answer
Amount Requested *
Your answer
Date Funding is Required *
MM
/
DD
/
YYYY
How Long has the Organization Existed? *
Your answer
Purpose of the Organization? *
Your answer
Are you a nonprofit? *
Have you received MRV Rotary funding before? *
Required
If so, when?
Your answer
What was the dollar amount?
Your answer
Have you received grants from another Rotary club? *
If so, which club(s)?
Your answer
What did the project fund and what is the current status of that effort?
Your answer
What other funding for this project has been requested or committed to date?
Source and Amount
Your answer
Describe the current project for which your organization is seeking funds:
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How will our community benefit from this project and how many will be affected?
Your answer
What fundraising activities has your group undertaken to raise funds for this project and the amount raised?
Your answer
How will the MRV Rotary be recognized for their support?
Your answer
To whom should the check be written? *
Your answer
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