Request for funding
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The Rotary Club of Sarnia
P.O. Box 22014, Twin Lakes Postal Outlet
1210 Michigan Avenue
Sarnia, Ontario, N7S 6J4
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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.
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.
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 total 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
and date required.
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 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.
A member of The Rotary Club of Sarnia will follow up your application with additional questions if needed.
Name of applicant:___________________________________
Address:
Telephone number:
Email address :
Contact person :
1. Reasons for your request for financial support:
(a) Name of the project:
(b) Brief Description of the Project:
(c) Goals of the project:
(d) Who would benefit and how:
2. Estimated total cost or annual budget or business plan and
timeframe of the initiative:
3. Amount: Date required:
4. Names of others sources (with amounts) you have asked for funding:
5. Government funds available for project: Yes No
Has application been made for funding from?
Municipality: Yes No
County: Yes No
Province: Yes No
Federal Government: Yes No
6. Are you a registered charitable organization: Yes No
Do you issue tax receipts: Yes No
6. 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 to: The Rotary Club of Sarnia
P.O. Box 22014, Twin Lakes Postal Outlet
1210 Michigan Avenue
Sarnia, Ontario, N7S 6J4
Or by email to: info@rotarysarnia.org
Disposition of request:
Date: