Request for Grant/Sponsorship
Rotary Club of Gibsons
Your Organization's Name
This will be used as Payee if we issue a cheque
Mailing address (This is where we will send the cheque if approved)
Street Address Line 2
State / Province
Postal / Zip Code
Amount requested ($)
Note that grants are normally in the range $200 - $2000 max
Title and brief description of your request
Note - you may append a PDF document - see box at the end of this form
Are you requesting any other input to this project from Rotary eg volunteer hours?
Give brief details of the nature of the voluntary work requested - eg "Interior painting - 40 hours"
Are there any other Community Partners involved in this project?
Please give names of other Community Partners, both applied for and granted
Who will benefit from this Grant/Sponsorship?
Estimate the number of beneficiaries and say how they will benefit
How will Rotary's contribution be recognized?
Eg Press coverage, logo on website, permanent signage etc
Upload a PDF file to support your application. Drag and drop here.
For Rotary use only
Funds Disbursement Committee Recommendation:
Approve for sum requested
Approve for different sum
Defer for further information
Board Approval - if over $500
Approve - up to $1000
Approve - over $1000 requires Club membership approval
Club membership Approval - if over $1000
Approve by motion at Club meeting
Reject by motion at Club meeting
Decision notified to Applicant
Should be Empty:
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