Rome Rotary Club Grant Request

Please complete the following application to request grant money from Rome Rotary Club.

Organization Name                                                                                                                  

Organization Address                                                                                                                        

Contact Person                                                                                                                                  

Organization Telephone Number                                                                                                      

Date                                                         

Amount Requested                                         One Time or Annual Request                    

Grant Check Payee Name                                                                                                                  

Purpose                                                                                                                                             

Benefits to the Community                                                                                                               

What other funding sources do you have available?                                                                          

Which Rotary Members are involved?                                                                                              

How Many People will be affected?                   

What is the Target Area?                                                                                                                   

What Publicity will Rome Rotary get from this?