Rotary District 7690 District Grant Application 2014-2015

Rotary District 7690 ● District Grant Application●2014-2015

Date / District Grant Number:
[assigned by District Grants Committee]
Sponsor Rotary Club / Club ID Number
1. / Project Title and Short Description:
Projected start date: / Projected completion date:
2. / Provide a detailed description of the project, its location, and project goals and tangible Rotarian involvement:
3. / Does your club plan on partnering with any other clubs in the district for this project:
Club Name / Club ID Number / District / Country
4. / Provide a total budget for the project (attach to application if needed):
Item / Cost
TOTAL BUDGET
5. / Proposed financing:
Contribution by Sponsor Rotary Club
Contribution by Partner Rotary Club
Contribution by Partner Rotary Club
Contribution by Partner Rotary Club
Contribution by Partner Rotary Club
Contribution by Partner Rotary Club
Contribution by Partner Rotary Club
Requested amount of District Grant
Funding from additional sources
TOTAL PROPOSED FUNDING
(must equal PROJECT EXPENSES in part 6 above)
6. / INTERNATIONAL PROJECTS:
International projects require a letter of commitment from the Host Rotary club/district indicating their full support of the project. If additional sources of income are being utilized attach a letter from the Host Rotary club/district endorsing the organization(s) providing the additional funding. These two letters may be combined into a single letter.
Provide information about the Host Rotary club/district:
Club Name: / Club ID Number: / District: / Country:
7. / LOCAL PROJECT COMMITTEE:
A committee of at least THREE local Rotarians must oversee the project for its duration. The project chair must be from the Sponsor Club. A contact from each Partner Club is recommended.
Primary Contact / Project Chair:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
Additional Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
Additional Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
Additional Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
8. / INTERNATIONAL HOST PROJECT COMMITTEE (for international projects):
A committee of at least THREE local Rotarians must oversee the project for its duration.
Primary Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
Additional Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:
Additional Contact:
Name: / Rotary Position/Title:
Address: / Email:
Home Phone:
Work Phone:
Fax Number:

This application and agreement are entered into between the Rotary club identified below and Rotary International District 7690 Grants Committee. In applying for and accepting Project Funding from Rotary District 7690 and/or The Rotary Foundation, the sponsoring club agrees:

1.To utilize the project funds to support a project within an area of focus as outlined in this application. Funds provided by the district will not be used for any purpose other than those specified in this application.

2.To submit timely progress reports on the project and a final report no later than May 15, 2015. Receipts for all expenditures and any unused funds must be submitted with reports.

3.To defend, indemnify and hold harmless Rotary International (RI), The Rotary Foundation (TRF), Rotary District 7690, their respective directors, trustees, officers, employees, and committee members (collectively RI/TRF/District) from any and all damages, losses, judgments and costs.

4.That this agreement may be cancelled for any reason without notice upon the failure of the sponsors to abide by the terms set forth herein. The sponsors agree to return any grant funds upon cancellation, in their entirety, including any interest earned.

5.All applicable laws of the States of Illinois and North Carolina, USA, govern this agreement.

By signing below I certify that the sponsoring club or clubs acknowledge and accept the terms of this agreement and agree to abide by the stipulations set forth herein.

Sponsor Club President Signature / Sponsor Project Chair Signature
Partner Club President Signature / Project Contact (Signature)
Partner Club President Signature / Project Contact Signature
Partner Club President Signature / Project Contact Signature
Approvals (District / Global Grants Committee use only)
Name (print and signature)
Name (print and signature)
Name (print and signature)
Name (print and signature)

THE ROTARY FOUNDATION

Rotary District 7690

District Grant Application

Grant Criteria

1.The grant cannot be used to reimburse clubs for projects already undertaken and in progress, for activities primarily sponsored by a non-Rotary organization, or for projects that are already completed.

2.The project location can be domestic or international.

3.Grant amount cannot exceed the club/clubs contribution.

4.The grant cannot be used for personal services, administration expenses and some travel.

5.The grant cannot be used for construction projects or structures where people live, work, or engage in gainful activity, or for storage.

6.A detailed progress report is required six months after the disbursement of the funds to the club. A final detailed report is required by May 15, 2015. The reports must include descriptions of how the project provided benefit to the community, how it involved Rotarians, how many Rotarians were involved, and a full accounting of project expenditures with all receipts.

Terms and Conditions – visit

scroll to ROTARY GRANTS

click on Grant process

scroll to RESOURCES & REFERENCE
click on Terms and Conditions for Rotary Foundation District Grants and Global Grants

Time Line and Notes

The application will not be considered unless the final report and receipts for a 2013 District Grant project have been submitted by May 15, 2014.
Initial application period closes May 31, 2014. Clubs will be notified by July 2014 of District Grant Application status. .
Projects must be completed May 1, 2015
Final report and all receipts must be submitted May 15, 2015.
Clubs can apply for funds up to two times the amount listed in the Club Allocation Chart.
Please mail the completed application to:
Jon Spillman, 1202 W. Friendly Ave., Greensboro, NC 27403
E-mail to ‘

7690TRF-DGA2013 (March 22, 2014) Page 1 of 6