P1 - APPLICATION FORM FOR FINANCIAL ASSISTANCE

APPLICATION FORM FOR FINANCIAL ASSISTANCE
This should provide a complete summary of the application.
Name of Organisation*
Charity No.
If applicable
Phone Number*
Please enter a valid phone number.Format: (00000) 000-000.
Contact Name *
Address*
All in one line please
POST CODE*
Purpose of your organisation*
Website
Email*
example@example.com
Details of Project*
Explain your project to us as clearly as possible
Total Cost of Project
Money needed for the project to be realised
Funding available/applied for
Money received or applied for from other sources
Amount Requested
The amount you are looking for from Rotary
I CONFIRM THAT BY SUBMITTING THIS FORM I AGREE TO THE PROCESSING OF ANY PERSONAL DATA/STORING OF THAT DATA IN LINE WITH THE ROTARY CLUB OF DUNDEE DATA-PROTECTION POLICY.

I CONFIRM THAT SHOULD MY APPLICATION BE SUCCESSFUL, I AGREE TO CONFIRM AND REPORT BACK THAT THE MONEY HAS BEEN SPENT FOR THE PURPOSES APPLIED FOR.

I CONFIRM THAT AGREE TO RC OF DUNDEE PUBLICISING THIS DONATION THROUGH ELECTRONIC OR TRADITIONAL MEDIA.
SIGNED*

Nothing too serious - if all fails simply enter you initials on BLOCK CAPITALS using the mouse or your finger.
DATE

MonthDayYear
Date
NOTES:

CLICK on the green SUBMIT BUTTON below to send the completed application to: secretary@dundeerotary.club.
Should be Empty: