Grant Application

ROTARY DISTRICT 7570 FOUNDATION GRANT REQUEST FORM
District grants fund small-scale, short-term activities that address needs in your community and communities around the world. These activities align with The Rotary Foundation’s mission to help Rotary members advance world understanding, goodwill, and peace by improving health, providing quality education, improving the environment, and alleviating poverty. Districts decide which activities they want to support with district grants.
Rotary Club of
Club President Name

First NameLast Name
Club President Email
example@example.com
Club Treasurer Name

First NameLast Name
Club Treasurer Email
example@example.com
Club Treasurer Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount of funds requested
Check payable to:
Description of Project / Use of Funds
Submitted By:

First NameLast Name
E-Mail Address
example@example.com
Grant Request Date

MonthDayYear
Date
Should be Empty:

ROTARY DISTRICT 7570 FOUNDATION GRANT REQUEST FORM