You Have a Great Idea !
Let's get some more info...
Date
-
Month
-
Day
Year
Date
Your Name
First Name
Last Name
Your Idea
Who will this benefit?
Another Organization
WH Rotary
If this is a fund request for another organization, please fill out their information here:
Organization Contact Name
First Name
Last Name
Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
example@example.com
If Another Organization, are you involved with them?
As a volunteer
As an employee or agent
No, I am not
Are they Not for Profit?
Yes
No
Not Sure
What will the funds be used for?
Operating Expenses
Purchase of equipment
Programming
Other
If other, please describe:
Are there branding or publicity opportunities for the Club?
Yes
No
Are they interested in a corporate membership with the club?
Yes
No
How many years has the organization been in existence (estimates are ok!)?
Continue the form here...
.
Benefits (check all that apply)
Money Maker for Club
Money Maker for Another Organization
Aid to Another Organization, not necessarily monetary
Fellowship
Publicity for Club
Publicity for Another Organization
Doing Good for the Community
Rotary Areas of Focus Involved (check all that apply)
Peace and Conflict Resolution
Disease Prevention and Treatment
Water and Sanitation
Maternal and Child Health
Basic Education and Literacy
Economic and Community Development
Protecting the Environment
Urgency
Within one year
1
2
3
4
Need Immediately
5
1 is Within one year, 5 is Need Immediately
Is it a repeatable event?
Yes
No
Start Up Costs:
T Grant
T Shared Expense
How Much Will it Cost?
Person Power Needed
Can We Get Others To Help? (Especially for another organization)
Yes
No
Maybe
Any Risks?
Submit
Should be Empty: