Charitable Request Form

Charitable Request Form
This form is to be utilized by Rotary Club of The Caldwells members in order to submit funding requests for projects and events. Please make sure to include as much detail as possible so Board Members can discuss and vote on the request.
Submission Date*

MonthDay Year
Date
Event or Project Date (If Applicable)

MonthDay Year
Date
Name of the Submitor from the RCC

First Name Last Name
Name of Organization*
Contact Person at the Organization*

First Name Last Name
Phone Number*

Area Code Phone Number
Email*
Location of the Organization
Amount Requested*
Please describe what the proposed funding will be used for:*
Please describe the benefits for the Rotary Club of the Caldwells:*
Please include any additional information relevant to this request:
For example: Will additional fund be needed? What other organizations are involved? How is the project being promoted?
Rotary Area of Focus *
Area of Service

CommunityVocationalInternationalYouthClub
Should be Empty: