Rotary Club of Kingston-Frontenac Community Service Projects Grants Application Form

Community Service Projects Grants Application Form
Application Deadline: NOVEMBER 15, 2024
I. About your organization
Organization Name*
Type of Organization*

Registered Not-for-ProfitRegistered charity
Registration number, if a registered charity:
Mailing Address*

Street Address

Street Address Line 2

CityProvince

Zip CodeCountry
What is your organization's mandate or purpose? (max 50 words)*

0/50
Organization's Web Address, if applicable
When was your organization started? *
What demographic does your organization serve in the Kingston community? PLEASE BE SPECIFIC (max 50 words)*

0/50
Current board of directors (name, position)*
Does your organization or group have an EXISTING or PAST connection with ANY Rotary Club? If so, please describe. (max 100 words)*

0/100
Does your organization receive any Federal, Provincial, or Municipal funding? If so, please indicate source, amount, and purpose. (max 50 words)*

0/50
Organization's Financial Statement (upload file)*

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II. Contact Person for this Grant
Contact Person's Name*

First NameLast Name
Title or Position*
Contact Person's Email*
example@example.com
Phone Number*

Area CodePhone Number
Lead person for this project*
Lead person's email*
example@example.com
Qualifications of person(s) in your organization attached to this project (max 100 words)*

0/100
Project title*
III. Project Information

Project must be completed within one year of funding.
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
TOTAL FUNDS REQUESTED*
Project Special Events

(if applicable)
Event 1
Event 1 Date

MonthDayYear
Date
Event 2
Event 2 Date

MonthDayYear
Date
Event 3
Event 3 Date

MonthDayYear
Date
Main Field of Interest (choose one that most closely matches your project)*

Peace and Conflict ResolutionDisease Prevention and TreatmentProviding Clean Water, Sanitation, and HygieneMaternal and Child HealthBasic Education and LiteracyEconomic and Community DevelopmentPreserving the Environment
Type of project (choose one or two that most closely match your project)*

PilotNewExpansion of existing projectPurchase of equipmentTrainingEducationalOther
IV. Project Purpose
What needs are you addressing and how were they assessed? (max 50 words)*

0/50
Who will benefit most from this project? (max 50 words)*

0/50
How do you justify this particular project at this time? (max 50 words)*

0/50
V. Project Description
Please describe your project and its GOALS. (max 150 words)*

0/150
Please describe the sequential steps, and their respective timelines, in carrying out your project. (max 100 words)*

0/100
What people, materials, and services are required? (max 100 words)*

0/100
Please list any partners that will participate in this project, if applicable. (e.g., other Rotary/Rotoract Clubs, community non-profits/registered charities, other.) (max 50 words)*

0/50
VI. Project Impact
What results are you expecting? (max 100 words)*

0/100
How many people will benefit directly from your project? How will they benefit? (max 50 words)*

0/50
How many people will benefit indirectly from your project? How will they benefit? (max 50 words)*

0/50
How will you evaluate/measure the success of your project? (max 100 words)*

0/100
If successful, how might you build on this project in the future?*

0/50
VII. Project Budget and Financing
Please provide the Budget for your ENTIRE project, even if you are requesting funds for only a specific part of the project. (upload spreadsheet)*

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Please provide a breakdown of your Budget for your specific needs and costs. (e.g., category, unit cost, subtotal per category, Total Cost) (upload spreadsheet or file)*

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If only partial funding is granted, where will the funds be applied? (max 50 words)*

0/50
Have you received Rotary grants before? If so, specify granting club, year(s), amount, and purpose (max 50 words)*

0/50
Have you received any funding for this project SO FAR? If yes, please indicate source(s) and amounts. (max 50 words)*

0/50
Are you seeking funding for this project from other sources? If so, please indicate which ones, amount requested, for which part of the project. (max 50 words)*

0/50
VIII. Connections with the Rotary Club of Kingston-Frontenac
How does your project fit with Rotary’s values and priorities. (Refer to Guidelines) (max 50 words)*

0/50
How might you encourage Rotarians or other community members to participate in your project? (max 50 words)?*

0/50
How might our club and its members continue to work with you after your project is completed (max 50 words)?*

0/50
How will the Rotary Club of Kingston-Frontenac be recognized for its role in this project? (max 50 words)?*

0/50
IX. Required Acknowledgments
How did you hear about Rotary Club of Kingston-Frontenac Community Service Projects Grants?*
Please acknowledge that you are aware that the final step before acceptance may require a Zoom presentation or interview to discuss the project*

Yes
Please acknowledge that your organization has a bank account in the name of your organization.*

Yes
Please acknowledge that a final follow up report, along with a detailed financial statement, will be required not later than 12 months following receipt of the grant. Please include all relevant documents (e.g., copies of receipts, purchase orders, etc.) Photos would be appreciated!*

Yes
Support documents (optional), maximum 2 pages, including letters of support and images; combine as a single pdf file.

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X. Submission
Signature*

Clear
If you wish to print the form, together with the content you have entered, press "Print form" before pressing "Submit."

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Community Service Projects Grants Application Form

Application Deadline: NOVEMBER 15, 2024

I. About your organization

II. Contact Person for this Grant

III. Project Information

Project Special Events

IV. Project Purpose

V. Project Description

VI. Project Impact

VII. Project Budget and Financing

VIII. Connections with the Rotary Club of Kingston-Frontenac

IX. Required Acknowledgments

X. Submission