2026-27 District Grant Application

Rotary District 7210 District Grant Application - Large Scale Multi-Club Project

(to be completed by the Primary Club Sponsor)
What is the name of the Primary Rotary Club?*
Who is the Primary Contact?*
What is the Primary Club's Address?*

Mailing Address

Street Address Line 2

CityState

Zip

Project Description
What is the Project Title?*
1. Describe the Project briefly. What will be done, where, when will project activities take place, etc.?*

0/100

Collaborating Clubs & Contact Information

Below please add each collaborating club with the contact information of that club's President-Elect (the person that will be President for the 2025-26 Rotary Year)
What is the name of the FIRST additional club that is collaborating on this project?*
Who is the President-Elect (will be President in 2026-27) for the FIRST additional club?*
What is the email address of the FIRST club's President-Elect?*
example@example.com
What is the name of the SECOND additional club that is collaborating on this project?*
Who is the President-Elect (will be President in 2026-27) for the SECOND additional club?*
What is the email address of the SECOND club's President-Elect?*
example@example.com
What is the name of the THIRD additional club that is collaborating on this project?*
Who is the President-Elect (will be President in 2026-27) for the THIRD additional club?*
What is the email address of the THIRD club's President-Elect?*
example@example.com
What is the name of the FOURTH additional club that is collaborating on this project?*
Who is the President-Elect (will be President in 2026-27) for the FOURTH additional club?*
What is the email address of the FOURTH club's President-Elect?*
example@example.com

Project Highlights
3. What Rotary Areas of Focus will be addressed?*
4. What significant need in this location does the Project respond to?*
5. How many people in need will benefit directly from this project?*
6. What % of the Primary Club’s Rotary and/or Interact/Rotaract members will participate directly?*
6. What % of the Primary Club’s Interact/Rotaract members will participate directly?*
7. What will the Rotarians do? Please give at least two examples (not including financial support provided to the project).*

0/100
8. Please provide a brief public relations plan on how your club plans to share the project and its impact with the community.*

0/100
YesNo
YesNo

Financial Report - Income
10a. What is the total of all of the PRIMARY CLUB'S financial contribution?*
10aa. What is the total of all of the OTHER CLUB's financial contribution?*
TOTAL CLUB CONTRIBUTIONS
10b. How much District Grant funds are you requesting? (amount between $5,000-$15,000)*
10c. Are you using any other funds? If so, how much?
Briefly describe what "other" funds are being used.
Total Anticipated Project Income
Financial Report - Expenses
11a. Please describe the first anticipated expenditure:*
Please list the amount of the first anticipated expenditure:*
11b. Please describe the second anticipated expenditure (if needed):
Please list the amount of the second anticipated expenditure (if needed):
11c. Please describe the third anticipated expenditure (if needed):
Please list the amount of the third anticipated expenditure (if needed):
Total Anticipated Project Expenditures:

Certifying Signature
By signing this report, I confirm that any/all District Grant funds awarded 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. - also certify that our Club will adhere 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.
Primary Contact's Signature*

Clear
Date*

MonthDayYear
Date
Primary Contact's Email Address*
example@example.com
Please note that each Presidents-Elect of the collaborting clubs will receive an email requesting that they "Approve" this grant application. The application is not considered "submitted" until all four other clubs have one that.
Should be Empty:

Rotary District 7210 District Grant Application - Large Scale Multi-Club Project