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

  1. The project must actively involve Rotarians and their Rotary Club.

(Donation to another Charitable Organization is not an eligible project)

  1. 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.
  1. DSG Applications are considered in the order they arereceived.
  1. 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.
  1. Matching funds by your Rotary Club are considered when evaluating the DSG Application.
  1. 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.
  1. 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.
  1. DSG Applications and report forms can be found on the District web-site

or by contacting the DSG Committee Chair.

  1. 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.
  1. 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