Request for funding

REQUEST FOR FUNDING                                 
 
 
The Rotary Club of Sarnia
Box 22014, Twin Lakes Postal Outlet
1210 Michigan Avenue,
Sarnia, ON N7S 6J4
 
 
 
 
Application for Financial Support
 
When submitting requests for financial support and/or funding from the Rotary Club of Sarnia, we ask that you consider the following guidelines in order to be considered for assistance.  Feel free to include additional material or information in your mail submission or in a pdf format in your email submission.
 
We do recognize there will be exceptional circumstances when requests must be submitted with short notice-all other requests should be submitted in a timely manner so the Rotary Club can budget for all outgoing funds.  We will be accepting applications twice a year- deadline of January 15, and August 15, each year.
 
Our general guidelines are as follows:
  1. Contact person, telephone number, email address
  2. Full description of request including goals, who will benefit and how
  3. Estimated cost or annual budget or business plan and timeframe of the initiative
  4. Specific amount of the financial request from the Rotary Club of Sarnia
  5. Names of other sources (with amounts) contacted for funding and confirmed funding you have received or anticipate receiving for this project
  6. Notes on Government funding available and whether application has been made-municipal, county, provincial, federal
  7. Are you a registered charitable organization- and do you issue tax receipts?
  8. Donor recognition- how will donors’ contributions be acknowledged?
 
Please note:  If funds are received from The Rotary Club of Sarnia, a summary report is required confirming project completion, describing the project and goal achieved, and accompanied by photographs.
A member of The Rotary Club of Sarnia will follow up your application with additional questions if needed.
 
Name of Applicant: ___________________________________________________
Address:
 
 
Telephone #:
Email address:
Contact person:
 
  1.  Reasons for your request for financial support:
  1.  Name of Project:
  2. Brief Description of project:
 
 
 
 
 
 
 
  1.  Goals of the project:
 
 
 
 
 
 
 
 
 
  1.  Who would benefit and how:
 
 
 
 
 
 
 
  1.  Estimated cost or annual budget or business plan and timeframe of the initiative:
 
 
 
 
 
 
 
 
  1.  Amount:                                                                   Date Required:
 
 
 
  1.  Names of other sources (with amounts) you have asked for funding:
 
 
 
 
  1.  Government funds available for project:          Yes or No
Has application been made for funding from?
Municipality:                                                           Yes or No
County:                                                                  Yes or No
Province:                                                               Yes or No
Federal Government:                                            Yes or No
 
  1.  Are you a registered charitable organization:  Yes or No
Do you issue tax receipts:  Yes or No
 
  1.  Donor recognition:
How will Rotary contribution be acknowledged?
 
 
Please note:  If funds are received from The Rotary Club of Sarnia, a summary report is required confirming project completion, describing the project and goal achieved, and accompanied by photographs.
 
Submit your request by mail or email to:
 
The Rotary Club of Sarnia
Box 22014, Twin Lakes Postal Outlet
1210 Michigan Avenue,
Sarnia, ON N7S 6J4