Project and Funding Requests
This Project Grant Funding Request form is to be completed by a member of the La Mesa Sunrise Rotary (LMSR) Club on behalf of a beneficiary and sent to the Project Grants Committee Chair.
Guidelines
- Priority areas for funding are projects that:
- Support maternal and child health, including mental health, with a special focus on schools and students.
- Provide for basic needs such as water and food.
- Contribute to a clean and healthy environment.
- Promote peace and better human relations.
- With limited exceptions, event sponsorship funding will not be provided.
- Priority will be given to organizations that have a current relationship with the Club or provide opportunities to build a relationship through Club member participation in activities and projects.
- Within 12 months of the funding date, the Projects Committee will invite grant recipients to a Club meeting to describe the impact of the funding, other funding needs, and opportunities for further Club member participation.
Date of request. ______________
Name of LMSR member proposing this grant funding. _________________________________________________________________
Name of project.
_________________________________________________________________
Is this a Club Project Grant or a Global Grant? (Circle one.)
If Global Grant, please list sponsoring Rotary Club. _________________________________________________________________
Contact information for grant recipient.
Name ____________________________________________________________
Organization _______________________________________________________
Mailing Address ____________________________________________________
Email Address______________________________________________________
Phone Number _____________________________________________________
Funding amount requested. $_________________________________________
When is the funding needed? _________________________________________
Purpose of the project. Include geographic area, who will benefit, etc.
Add more lines as needed.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Opportunities for Club member participation, if any.
_________________________________________________________________
_________________________________________________________________
List other sources of funding for this project and amounts, if any.
_________________________________________________________________
_________________________________________________________________
For the LMSR Club Board of Directors to complete
Decision Date _________________
Accepted ___
Rejected ____
For the LMSR Club Foundation to complete
Decision Date _________________
Accepted ____
Rejected _____
Disbursement (payee & address)
___________________________________________________________________
___________________________________________________________________
Check # _______________
Date mailed _________________
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