Kempenfelt Rotary Club Funding Application

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Please use this form to submit your community organization's funding request for our Club. This form is NOT intended for individual funding requests.

Name of Organization *

Briefly describe your Organization
(600 characters or less please) *

Website Address *

Are you a Registered Charity? *

Are you Not for Profit? *

Other if Not Registered Charity or Not for Profit *

How is your organization currently funded? *

Please include all funding sources.

What percentage of yearly revenue goes towards Administrative costs? *

What is your specific project or request and who will benefit? *

1000 characters or less please.

What is the specific dollar amount of this request? *

How will you measure the benefit? *

1000 characters or less please.

When do you require the funds? *

Have you already received funding for this project? *

Who else has been approached for funding? *

Will your Organization provide the Kempenfelt Rotary Club with an impact statement and/or photos illustrating how our donation was utilized? If asked, would your organization attend one of our weekly meetings to report on how this funding was used and the success of the project? *

Please provide your contact information so that we may follow up with you. Contact Name: *

Email Address *

Phone Number: *

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This form was created inside of Rotary Club of Barrie Kempenfelt.