Community Grants Large – Bay City Morning Rotary Club

Legal Name of Organization Applying:

Tax ID #:

Executive Director

First

Last

Executive Director Email Address

Contact Person

First

Last

Contact Person Title

Contact Person Phone

Organization Address:

Please include City / State / Zip

Organization Phone

Organization Web Address

Project Name:

Purpose of Grant (One Sentence):

Start / Finish Dates of Project:

Amount Requested:

In $USD

Total Project Cost:

In $USD

Geographic Area Served:

ADDITIONAL INFORMATION:

Brief Summary of Organization’s History:

Brief Statement of Organization’s Mission and Goals:

Description of Current Programs, Activities and Accomplishments:

Has your organization applied for previous support from Bay City Morning Rotary? (If so, please describe project / program, dates of support, and amount awarded.)

ADDITIONAL INFORMATION:

Statement of needs/problems to be addressed.

Description of project goals, action plans, and statements as to whether this is a new or ongoing project or program.

Description of the target population for your project and how they will benefit and the number of individuals affected by the project/program

Timetable for implementation.

List of other partners in the project and their roles.

Long-term strategies for funding this project at end of the grant period

How will Bay City Morning Rotary be recognized if your organization receives this grant?

ADDITIONAL INFORMATION:

Please include an expense and revenue budget for your project or program. List of amounts requested from all foundations, corporations, and other funding sources (including Bay City Morning Rotary) to which this proposal has been submitted