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GRANT APPLICATION FOR FINANCIAL SUPPORT
SIDNEY ROTARY CLUB, SIDNEY, BC
Contact: president.sidneyrotary@gmail.com
Or
sidneyrotaryfallfair@gmail.com
INTRODUCTION
The Rotary Club movement was founded by Paul Harris, a Chicago Illinois, USA businessman on February 23, 1905. The club was called Rotary because “Members met in rotation at their various places of business.” There are now over 35,000 Rotary Clubs in 220 countries worldwide.
“The object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise...” and in fact, Rotary’s motto is “Service above self”.
. In order to treat all applicants as fairly and equally as possible, applicants are requested to submit a completed application form. Applications from not-for-profit organizations will, generally speaking, only be considered if the organization has a charitable registration number issued by Revenue Canada.
Sidney Rotary Club anticipates that recipients of grants will give the Club appropriate public recognition, such as in the media, in-house publications, and annual reports, or appropriate identification on hard assets/equipment such as a plaque or name plate.
GRANT APPLICATION FOR FINANCIAL SUPPORT
(Note: All applicants seeking support in excess of $400.00 must provide all of the information requested on this application. Generally speaking, no grants will be given more frequently to the same applicant than once every three (3) years).
1. Date of Application: _____________________________________________________________
2. Legal Name of Organization or Person Applying: ______________________________________
______________________________________________________________________________
3. Year Formed (if organization) _____________ Current Operating Budget ___________________
4. Name of other funders to whom an application has been made; indicate those from whom funds have been received/promised.
a) ____________________________________________________________________________
b) ____________________________________________________________________________
c) ____________________________________________________________________________
5. Name of Executive Director _______________________________________________________
(If an organization)
6. Contact Person/Title: ____________________________________________________________
7. Address: ______________________________________________________________________
8. Mailing Address is different from above: _____________________________________________
9. Telephone Number: ___________________________ Fax Number: ______________________
10. Revenue Canada Registration No. (If applicable) ______________________________________
11. Name of project being considered: _________________________________________________
12. Purpose of Grant (one sentence) ___________________________________________________
______________________________________________________________________________
13. Beginning and ending dates of project; ______________________________________________
14. Amount Requested: $ __________________ Total cost of Project: ________________________
15. Geographic area served __________________________________________________________
(If an organization)
16. Name of Board of Directors Chair: __________________________________________________
Signature of above and Date: ________________________________ Date: ________________
17. Signature of Executive Director: ______________________________ Date: ________________
(If an organization)
18. Signature of person completing application: __________________________________________
19. Date of last application to the Rotary Club ___________________________________________
(If applicable)
20. Do you have a BC Gaming Commission license? No __________ Yes __________
Number _________________
21. Please outline how you would provide ongoing recognition for the contribution of the Sidney Rotary Club . Usual methods are acknowledgment in a program or your literature, a banner at an event, or in spoken introductions to an event.
22. Would you be willing to have a representative of your group give a 5-to-10-minute talk at a Rotary meeting to discuss your group or its project?
23. Would your group members be willing to volunteer on occasion for one of our community projects? In particular, we are a small club with heavy commitments to community and fundraising activities, such as running children’s fairway games at the Saanich Fall Fair. We would like to be able to call on our grant recipients to provide occasional volunteer help alongside our members.
24. Do you have any special links to indigenous or youth groups?
No___ Yes______
NARRATIVE OF GRANT APPLICATION: -
Please Note: It would be appreciated if you would structure your written proposal to provide the following information in the order indicated. Use the headings and sub headings as indicated and in your own words, as briefly as possible, answer the questions.
Section for Organizations only:
A) Organization information:
summarize history
state mission, goals and how your “project” fits in with your long-range plans”
-
outline current programs/activities and projects
-
“major” accomplishments
B) Purpose of Grant:
-
briefly describe proposed project
-
identify the needs/problems to be addressed, target population and approximate number of people that will be served by your project
-
describe goals and objects of project and how you plan to meet them
-
provide a timetable for project
-
name of project facilitator
-
Have you received Rotary grants in the past? What other sources of revenue have you for this and other projects (government, foundation, etc.)
-
C) Evaluation:
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indicate how you plan to record progress and results of your project
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how do you plan to evaluate the project (applicants who accept funds. do so on the understanding that they will provide a copy of the project evaluation)
-
name of person who will prepare and be responsible for the evaluation and the approximate date at which the evaluation will be deposited with our Rotary Club.
D) Attachments:
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list of officers and directors
-
copy of proposed project budget
-
annual report of organization, if available
-
letters/documents of support (optional)
-
other
To Be Completed Only By Applicants Who Are Individuals:
-
For what purpose will the grant be used?
-
Total cost?
-
Describe briefly why you want to carry out your project? Need the piece of equipment? Etc.?
-
If a Rotary grant will not cover the total cost of your project, piece of equipment, etc., state briefly how you plan to finance the balance.
-
If a piece of equipment is involved state briefly what will happen to the equipment if and when it is no longer needed by the applicant.
FOR Rotary Club USE ONLY
Date application received: ________________________________
Any instructions: ________________________________________________________
_______________________________________________________________________
Date application accepted/rejected: ________________________________________
Date given to Board for Approval: _________________________________________
Date Funds disbursed and received: _______________________________________
