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UNIVERSITY DISTRICT ROTARY CLUB
2008-09 INTERNATIONAL SERVICE PROJECT FUNDING APPLICATION FORM
Dear Grant Seeker,
Thank you for your interest in pursuing an international project—we wish you success! Please complete the attached application form in its entirety, including required signatures, and attach all necessary supplemental information as per “Attachments” below.
DEADLINE: Please submit your completed (preferably typed) application on or before October 15, 2008. Incomplete or late submissions cannot be considered. Submit 1) the electronic copy of your application to the International Service Committee at with copy to and 2) mail your original signed application to:
University District Rotary Club
Attn: S. Sola, Chair, International Service Committee
1204 18th Ave. E.
Seattle, WA 98112
ATTACHMENTS:
q Need/problem statement (up to 1 page)
q Complete project description (up to 2 pages)
q Detailed budget, including pro forma invoices, price quotes from manufacturers and service providers, etc.
q Background information on trusted partner(s) involved in project, including experience, references, etc.
q Other useful supporting information on the proposed project
PROPOSAL EVALUATION CRITERIA:
1 Projects must involve a properly vetted Rotary Club as our primary partner in the project country (or, in a non-Rotary country, an NGO with a reliable history). This is a top priority.
2 Projects should leverage club funds when possible by involving other collaborators and funding sources.
3 Projects will ideally be hands-on and provide opportunities for participation and education of Club members. Every project must be co-sponsored by a University Rotary Club Int’l Service Comm. member.
4 Priority will be given to sustainable projects that benefit large groups and have a high potential for local empowerment, capacity-building and community impact, without displacing local capacity.
5 If Matching Grant funds from Rotary International are to be sought, project sponsor must confirm that the international partner Rotary club: (1) is current in payment of its dues; (2) has less than five matching grants currently outstanding; and (3) the international partner Rotary club’s reporting on all outstanding matching grant projects is current.
6 Projects in Rotary District 5030 and Rotary International priority areas are given special consideration. In 2008-09, reduction of child mortality; improved water access and quality; and literacy are priority areas.
OTHER IMPORTANT CONSIDERATIONS:
§ REPORTING REQUIREMENTS: Follow up by the sponsoring club member/s is required after the project is funded. This includes a report six months after disbursement of funds and a final report upon completion of the project. The reports should document progress made toward achievement of the project goals and specific partner Rotarians’ involvement in project oversight and activities, as per the project application. The final report must include an accounting of grant funds spent on the project. Submission of photos documenting project goal achievement is strongly encouraged. Project sponsors may be asked to present on the outcomes of their project to the entire club.
§ Club member’s current project/s must meet reporting requirements before new project applications by the club member are considered.
§ Grant award will only be made upon approval by: (1) ISC Committee and (2) Club Board and (3) Service Fund Board.
§ No grant funds are to be spent or committed before full project approval by all three above-named groups.
University District Rotary Club – International Service Committee 2008-2009
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UNIVERSITY DISTRICT ROTARY CLUB
2007-08 INTERNATIONAL SERVICE PROJECT FUNDING APPLICATION FORM
PROJECT NAME & COUNTRY:
NEED/PROBLEM: What community need or problem will be addressed through this project? (Provide a brief description here and attach up to 1 page of additional information if necessary.)
SHORT PROJECT DESCRIPTION:
What is the purpose of this project?
How will it meet the needs of the community?
Who are the primary beneficiaries of this project?
How many individuals (approx.) will benefit? Est. ______persons
Provide a brief project description here and attach a complete project description, including anticipated project outcomes and specific strategies, up to 2 pages:
TIMING: What are the anticipated start and end dates for this project?
Start Date: End Date:
TOTAL PROJECT COST: $
FUNDS REQUESTED from UNIVERSITY ROTARY: $
(Please attach detailed itemized budget)
CONTINUATION: Is this project the continuation of a prior project? If so, please describe:
SUSTAINABILITY: How will you ensure the ongoing sustainability/support for the project, once completed at the international site?
PARTNERS:
Name the University Rotary Club member/s working on the proposed project and the role/s they are playing:
List other Rotary Club/s or other organizations that will participate in the project, their related contact person/s, and the funding and/or other support they will provide:.
Identify your International Partner/s (Rotary Club and project contact person), describe your experience working with them (trusted partner), list their qualifications for carrying out this project (attach further background information if necessary) and the specific project activities in which they will actively participate:
LEVERAGING CLUB MONIES: Will District Share Funds (up to a matching amount of $25,000), normally part of an International Matching Grant request, be requested? If so, what amount?
Yes* $ No
Will Matching Grant Funds from Rotary International be sought? If so, what amount?
Yes* $ No
*Please contact our Matching Grants Advisor, Susan Sola, for guidance.
CLUB PARTICIPATION: Is it possible for a Rotary delegation to visit the International Service project?
If so, please describe potential dates and activities:
What opportunities exist for “hands on” involvement of Rotary members?
Lead Rotarian Name: / Int’l Service Committee Co-Sponsor Name:Home Address: / Home Address:
Daytime Phone: / Daytime Phone:
Evening Phone: / Evening Phone:
E-mail: / E-mail:
Date:
Signature of Lead Rotarian
Date:
Signature of ISC Co-Sponsor
University District Rotary Club – International Service Committee 2008-2009