2020-2021 District Grant Application Submission Deadline May 15th 2020
Email address *
Club Name *
Please DO NOT put Rotary or Rotary Club of JUST PUT THE TOWN/NAME of the club
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EIN # (if applicable)
This is your club Tax ID # (Employer Identification #) it does NOT come from Rotary, ask your club Treasurer to provide it to you.
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Club Mailing Address *
This is the address where the grant check will eventually be mailed if we can't find you at a district meeting
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Contact Name *
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Contact Title (Club President, Club Foundation Chair, etc.)
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Contact Phone Number *
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Which District Grant training meeting did you attend? *
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Project Type *
Project Title *
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Amount Requested (USD) *
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Has your club done this project before? *
Project Description *
What will be done, when, and where will project activities take place?
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Project Reach *
How Many people will benefit from this project (estimated)
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Rotarian Involvement *
How Many Rotarians will participate in this project?
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Rotarian Involvement *
Please describe the involvement of Rotarians (provide a minimum of two examples, NOT including financial support)
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Cooperating Organization(s) *
Did you partner with any non-Rotary groups on the project? If so what was their role?
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Reporting Documentation *
I have e-mailed the full project budget to Roger.District7255@gmail.com AND A1Lady@aol.com with the name of my club and the words District Grant Report in the subject line prior to the grant application deadline.
Required
Reporting Documentation *
I understand that the final project report and copies of all invoices for expenses paid must be submitted to Roger.District7255@gmail.com AND A1Lady@aol.com with the name of my club and the words District Grant Final Report in the subject line on or BEFORE May 15th 2020 in order to receive any grant funding.
Required
Compliance *
I understand that failure to provide any of the requested documentation may result in the rejection of my grant application and/or future grant applications by my club in the future.
Required
Certification *
By entering my name below, I confirm that to the best of my knowledge these District Grant funds were spent only for eligible items in accordance with Trustee-approved guidelines, and that all of the information contained herein is true and accurate. I also understand that all photographs submitted in connection with this report will become the property of RI and will not be returned. I warrant that I own all rights in the photographs, including copyright, and hereby grant RI and TRF a royalty free irrevocable license to use the photographs now or at any time in the future, throughout the world in any manner it so chooses and in any medium now known or later developed. This includes the right to modify the photograph(s) as necessary in RI’s sole discretion. This also includes, without limitation, use on or in the web sites, magazines, brochures, pamphlets, exhibitions and any other promotional materials of RI and TRF
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A copy of your responses will be emailed to the address you provided.
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