2011-12District Simplified Grant Application
District 7890 Grants Committee
George Condon, Chair
(Rotary Club of West Springfield)
Reid McManis,Secretary
(Rotary Club of West Springfield)
Raymond J Evans, Treasurer
(Rotary Club of Ludlow)
Contact:George Condon, Chair
Tel. 413-222-9244, E-mail:
c/o Northeast Security Solutions, Inc
33 Sylvan Street
West SpringfieldMA01089
District 7890 Simplified Grant Regulations
- The project must actively involve Rotarians and their Rotary Club.
(Donation to another Charitable Organization is not an eligible project)
- The project must serve a new group of recipients and be a new Rotary sponsored project, not a contribution to an on-going project or a project sponsored by others. Projects completed before the DSG Application is submittedare not eligible.
- DSG Applications are considered in the order they arereceived.
- Projects will be funded under the following criteria: DSG Committee will match club funds dollar to dollar up to $500.00.DSGApplication requests over $500.00 will be evaluated by the DSG Committee. DSG Application requests for dictionaries will be granted at $1.00 maximum per dictionary.
- Matching funds by your Rotary Club are considered when evaluating the DSG Application.
- DSG Applications will be evaluated in the order they are received and designated“approved” by the DSG Committee. Once funds are exhausted, any DSG Applications pending or received will be returned.
- Once the DSG Application is approved,a Progress Report and/or Final Report is due within 6 months of approval. The DSG Committee will issue the check to your Rotary Club upon receipt and approval of your submitted Final Report. Receipts and proof of payment must accompany the Final Report.
- DSG Applications and report forms can be found on the District web-site
or by contacting the DSG Committee Chair.
- If, for any reason, an approved project fails to be completed or materialize, the DSG Committee shall be notified as soon as possible and the DSG Application will be cancelled. No funds will be awarded. If another project is considered in its place, a new DSG Application will need to be submitted to the DSG Committee.
- A Rotary Club can only have one DSG Application in process at any one time. When a DSG project is completed and a Final Report submitted and approved by the DSG Committee, then another DSG Application can be submitted.
Guidelines for Expenses re:District Simplified Grant Funds*
ELIGIBLEINELIGIBLE
Revolving loans/micro-creditEstablishing of a foundation, permanent trust, or long-term interest bearing account
Short-term rent or lease of buildingsPurchase of land or buildings
Construction of infrastructure such asConstruction or renovation of any structure
roads, reservoirs, dams, bridges, latrinesin which individuals live, work or engage in
toilet blocks, water supplies, and otherany gainful activity. This includes buildings,
similar structurescontainers, mobile homes or structures where individuals carry out any type of activity such as manufacturing, processing, maintenance, or storage, including provision of new services or upgrade facilities
Purchase of equipment or appliancesProvision of plumbing or electrification inside buildings
Short-term and/or contracted labor forSalaries for individuals working for another
implementationorganization
Administrative expenses for projectOperating or administrative expenses of
activitiesanother organization
Primary and secondary education, Post secondary education activities,
tuition, transportation research, or personal or professional development
Domestic travelInternational travel
Detailed, itemized expensesContingencies, miscellaneous expenses
Assistance to land mine victimsLand mine removal
Publicity expenses such as newspaperRotary signage
fees, or printing of posters, brochures, or
fliers to inform the community of an Donation to another Charitable Organization
available service
(Guidelinescontinued)
ELIGIBLEINELIGIBLE
Vaccines and immunizations, if theTransportation of vaccines or immunizations
project is consistent with criteria,by hand over national boarders
procedures, and policies of the Polio
Plus program and World Health
Organization
New Rotary-sponsored projects notProjects already undertaken and in
already in progressprogress,existingprojects or activities primarily sponsored by a non-Rotary organization, or projects already completed
Maternal and pre-natal health and Purchase and distribution of birth control
educationdevices and ultra-sound equipment for use in
Sex determination
Budgeted and itemized humanitarianUnspecified or cash donation to
goodsbeneficiaries or co-operating organizations
Humanitarian or service activitiesFund raising activities, expenses related to
benefiting a community in needRotary events such as district conferences or
anniversary celebrations or entertainment activities that do not include a humanitarian aspect
Secular, non-religious activities thatProjects that support purely religious
Benefit a community in needfunctions at churches and other places of worship
Community beautification activitiesBeautification activities in areas that are not
Readily accessible to the general public
*Source: TRF. “Guidelines for Eligibility of DSG Expenditures”
District 7890 Simplified Grant Application 2011-12
1. ______
Club(s) Name(s)Club(s) No.
2. Describe the project, its location and objectives.
3. Starting Date: ______Estimated Completion Date______
4. Describe how the project will benefit the community and/or improve the lives of
less fortunate.
5. Describe non-financialparticipation by Rotarians in the project, i.e.
involvement by club members.
6. Describe how the general public will know this is a Rotary project. Provide details,
i.e., publicity in newspapers, other media, and/or display of the Rotary wheel, etc.
7. Cooperating organizations. If the project involves cooperating organizations,
provide the name of the organization and attach a letter from the organization.
The letter specifically should state the responsibilities of the cooperating organization and
how Rotarians will interact with that organization in completion of the project.
Note: By signing the application, the Rotarian sponsors endorse the organization as
reputable, responsible, and acting within the laws of the community.
Name(s) of cooperating organization(s)
8. Budget. Include a complete, detailed, and itemized budget for the entire
project. The budget must include: estimated costs
Supporting documentation utilized for the development of this budget may be
requested. (Use additional pages as necessary.)
Estimated cost(s): List items individually to be purchased and other itemized expenses.
Project Total: $______
Sources of Project income:
From your Club’s budget…………………...
Amount requested from District 7890………
Other………………………………………..
Project Total:______
9. Project/Club contacts. List two Rotarians who will provide oversight and
management of the project funds.
______
Primary contact nameClub Project Chair
Address
Telephone Cell E-mail
______
Secondary contact nameClub Treasurer
Address
Telephone Cell E-mail
Authorization: The Rotary club involved in this project is responsible to District
7890 for the conduct of the project and for progress/final reports. The signatures on the application confirm that the sponsors understand and accept the responsibility and affirm that all the information in this application is true and accurate to their knowledge.
Club President - I hereby affirm that the club has voted to undertake this project as an activity of the club.
______
Club President (signature) Date
District Grants committeeapproval by:
District Grants Committee Chair(signature)Date
District 7890 approval by:
______
District Governor (signature) Date
Forward application with club president’s signature to:
George Condon, Grants Chair
Rotary District 7890 Grants Committee
c/o Northeast Security Solutions, Inc
33 Sylvan Street
West SpringfieldMA01089
Rev. May 2011