GRANT REQUEST INFORMATION

DEADLINE FOR APPLICATIONS: MARCH 15, 2022

Kitchener Grand River Rotary focuses our local grants on charitable projects which involve children and youth.  We believe in planting seeds and helping youth and children who have physical, financial, mental or spiritual needs that make a significant impact.

    Date of Application*
    Project Date*

    Charitable Registration #*

    Formal Name of Organization*

    Mailing Address*

    Email Address*

    Phone Number*

    Fax Number

    Describe Project for which you are requesting funds*

    Cheque to be made payable to (if request granted)

    Name of Contact Person & Position

    Phone/Fax/Email (if different from above)

    Email Address:

    Phone Number:

    Fax Number:

    Total of Request:

    Describe how the funds will be used:

    Who will be served by this request:

    Are you Funded by any other sources? Is so, please provide detailed list:

    Have you requested funds from our club before?:

    If yes, when??(Attach report of how money was used along with recognition that was provided for our support) :

    How do you recognize donors?: