Rotary 7570

ROTARY DISTRICT 7570

DISTRICT COLLABORATIVE GRANT APPLICATION

Rotary Year: *

(select: 2023-2024)

Application Date: *

Club Name (Primary): *

This Grant requires active participation of at least two clubs. The maximum grant depends on the number of collaborating clubs - see Guidelines. Please select each participating club from the drop down boxes.

Club Name 2: *

Club Name 3:

Club Name 4:

Club Name 5:

Club Name 6:

Other Club:

List another club(s) not shown in the pulldown.
i.e. a Rotaract club

Project Name: *

Project Total Cost: *

$

Grant Amount Requested: *

$

Maximum Grant $12,000 and/or 50% of Project Expenditures, depending on number of Participating Clubs.

Describe the Project, its location and its objectives: *

(try to limit to 300 words)

Expected Start Date: *

No sooner than August 31, 2021

Expected End Date: *

No later than May 15, 2022

Expected Number of Beneficiaries: *

Describe how the project will benefit the community and/or improve the lives of the less fortunate: *

(try to limit to 300 words)

Expected Total Project Volunteer Hours: *

Describe the Rotarian hands-on activities in the project (i.e. non-financial participation): *

(try to limit to 200 words)

Describe the publicity plan to inform the general public that this is a Rotary sponsored project: *

(try to limit to 200 words)

Cooperating Organizations – Please list each cooperating organization, if any: *

If none then state "None". (try to limit to 100 words)
By signing the applications, the Rotary Clubs endorse the organiaztions as reputable and responsible.

Letter(s) of Participation:

No files have been uploaded yet.

Attach a letter of participation from each cooperating organization.

NOTE: Do not upload any files that use an "&" or a "#" in the filename.
NOTE: If you do not see an [Upload] button then your device is not compatible.

Project Expenditure Budget – list detail uses of funds for the project, or use the Budget Upload.*

Include Budget Expenditure Item and $ Amount on each line, or enter "See Budget Upload".

Project Funding Budget – list detail sources of funds for the project, or use the Budget Upload: *

Include Requested Collaborative Grant, Each Club's Funds and $$ Amount on each line, or enter "See Budget Upload".

Budget Upload:

No files have been uploaded yet.

Use the optional budget template for a complete explination.

NOTE: Do not upload any files that use an "&" or a "#" in the filename.
NOTE: If you do not see an [Upload] button then your device is not compatible.

Primary Contact Name: *

The Primary Contact is the Chair of the Project Steering Committee.

Primary Contact Rotary Position: *

Primary Contact Email: *

Primary Contact Phone: *

Financial Contact Name: *

Financial Contact Rotary Position: *

Financial Contact Address: *

City	State	Postal Code
Street

Financial Contact Email: *

Financial Contact Phone: *

Project Authorization Form: *

No files have been uploaded yet.

Attach the Collaborative Grant Project Application Form signed by participating club Presidents and Presidents-Elect and Assistant Governor(s).

NOTE: Do not upload any files that use an "&" or a "#" in the filename.
NOTE: If you do not see an [Upload] button then your device is not compatible.

Supporting Uploads:

No files have been uploaded yet.

Although not required, you may attach document(s) containing additional project details.

NOTE: Do not upload any files that use an "&" or a "#" in the filename.
NOTE: If you do not see an [Upload] button then your device is not compatible.

Click the Submit button to save this application. A copy will be emailed to the Primary Contact email address entered above.
ONLY CLICK SUBMIT ONCE!

Grant Number:

Grant Award:

$

ROTARY DISTRICT 7570 DISTRICT COLLABORATIVE GRANT APPLICATION

ROTARY DISTRICT 7570

DISTRICT COLLABORATIVE GRANT APPLICATION