Rotary Club of New Braunfels Charitable Contributions Application

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Charitable Contributions Guidelines* This field is required.Please open and review the Charitable Contributions Guidelines from the link below before proceeding. Guidelines may also be downloaded and saved for your records. Scroll down if the link is not visible.
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IMPORTANT! PLEASE READ BEFORE CONTINUING.

Jotform allows applicants to save their form and continue at a later time. It will by default send an email reply message with a link to the email account that you have open on your desktop, and not necessarily to the email address you input as your Contact Email in the application, or in which you want to receive email messages at.

In order to avoid this we recommend you log-out of any email accounts that you do not want the email reply and link sent to prior to starting this application. This will allow you to manually input your prefered email address and override the default address.
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Contact Email* This field is required.Enter the email address where you would like to receive all correspondence.
example@example.com
Confirm Email
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Organization Name* This field is required.
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Contact Name* This field is required.
First Name
Last Name
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Contact Title* This field is required.
7
Organization Name and Address* This field is required.
Street Address
Suite #
City
Please Select
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Country
8
Organization Phone Number* This field is required.
Please enter a valid phone number.
9
Contact Mobile Phone Number* This field is required.
Please enter a valid phone number.
10
Application submitted by* This field is required.
First Name
Last Name
11
Does your organization have a website?* This field is required.
YESNO
12
Organization web address.* This field is required.
https://www.example.com
13
Did a member of Rotary Club of New Braunfels endorse or refer this request?
YESNO
14
Name of Rotary member endorsing/referring this request.* This field is required.
First Name
Last Name
15
Primary purpose of your organization or individual project. Please include the project's length of service (if applicable) and the number of people it will serve.* This field is required.
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Ok
Ok
16
Amount of contribution request.* This field is required.
Please use a comma
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Primary City and County where funds will be distributed/used.* This field is required.
City
County
18
Total fundraising goal.* This field is required.
19
Has your organization received any previous contributions from Rotary Club of New Braunfels?* This field is required.
YESNO
20
Previous Contribution Date.* This field is required.
Date
Year
Month
Day
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Has your organization received other commitments, funds, or sources of funds for this program?* This field is required.
YESNO
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Please list the other commitments, funds, or sources of funds you have received for this program.* This field is required.
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Ok
Ok
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Do you have any relevant documentation regarding other commitments, funds, or sources of funds you have received for this program?
YESNO
24
Please upload all relevant documentation regarding other commitments, funds, or sources of funds you have received for this program.* This field is required..PDF, .JPG, and Microsoft Word files accepted
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Will there be matching funds provided by other organizations that will be tied to this contribution?* This field is required.
YESNO
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How much and from what source will the matching funds be provided?* This field is required.
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Ok
Ok
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Does your organization have a Board of Directors?* This field is required.
YESNO
28
Upload document listing the names and titles of your Board of Directors.* This field is required..PDF, .JPG, and Microsoft Word files accepted
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Is your organization a 501(c)3 non-profit?* This field is required.
YESNO
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Upload your IRS 501(c)3 documentation.* This field is required..PDF, .JPG, and Microsoft Word files accepted
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
31
Upload your detailed project budget as it relates to this request.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
PDF, .JPG, and Microsoft Word and Excel files accepted
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Describe the project that the requested funds will be used for. What is the expected impact, application, and use of funds? How will the completed project be evaluated? * This field is required.
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Ok
Ok
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Is there a specific timeline for the delivery or funds and/or use?* This field is required.
YESNO
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What date do the funds need to be delivered by?* This field is required.
Date
Year
Month
Day
35
Is there anything other than money that your organization might need or requite? Supplies, manpower, promotion, etc?* This field is required.
YESNO
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What else could Rotary Club of New Braunfels provide to your organization?* This field is required.
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Ok
Ok
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Please indicate how Rotary Club of New Braunfels will receive recognition from your organization if a contribution is approved.* This field is required.
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Ok
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Do you have any additional comments or information you would like to add?
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Ok
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Date of application submission.* This field is required.
Date
Year
Month
Day
40
Signature of person identified above in "Application submitted by".
Clear
41
Please verify that you are human.* This field is required.
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