2025-26 District Grant Progress Report/Final Report (single club grant)

Rotary District 7210 District Grant Report
Please ensure that you have the following completed before filling out the form.*
Progress ReportFinal Report
What is the name of your Rotary Club?*
President Name*
Mailing Address where you want the check sent*

Mailing Address

Street Address Line 2

CityState

Zip

Project Description
Project Title*
1. Project Description*

Describe the Project briefly. What was done, where, and when did the project activities take place (note changes from the application)? If this is a progress report, what remains to be done?0/100

Project Highlights
2. What Rotary Areas of Focus were addressed?*
3. What significant need in this location did the Project respond to?*
4. How many people in need benefited directly from this project?*
5. What % of your Rotary members participated directly?*
5. What % of your Interact/Rotaract members participated directly?*
6. What did the Rotarians do? Please give at least two examples (not including financial support provided to the project).*

0/100
Yes

Financial Report - Income
8. What was your club's financial contribution to the project (Total Expenses MINUS the grant award amount)?*
District Grant funds received from D7210
If you club used any "other" funds, please briefly describe here:
Other funds used:
Total Project Income
Financial Report - Expenses
9. Please list an expense:*
Expense #1 amount*
Please list a second expense (if needed):
Expense #2 amount
Please list a third expense (if needed):
Expense #3 amount
Total Project Expenses
Supporting Documents
Please upload ONE document with RECEIPTS TOTALING THE EXPENSES*

If there are more than three receipts, please include a spreadsheet totaling each receipt.
Cancelof
Please upload ONE document with CANCELED CHECKS and/or BANK STATEMENTS to confirm the expenses.*

Cancelof

Certifying Signature
By signing this report, confirm that to the best of my knowledge. any/all District Grant funds awarded were/will be spent only for eligible items and in accordance with Trustee-approved guidelines, including but not limited to the Terms and Conditions for Rotary Foundation District Grants, and that all of the information contained herein is true and accurate. I also certify that our Club willhas adhered to appropriate stewardship measures and proper grant management practices. If requested, our Club will cooperate with any financial, grant or operational audits and will retain appropriate records as required to facilitate same for a minimum of seven years. or longer if required by local law.
Date*

MonthDayYear
Date
Club Representative's Name

First NameLast Name
Club Representative's Email Address
example@example.com
Club Representative Signature*

Clear
Should be Empty:

Rotary District 7210 District Grant Report