International Grant Application

International Grant Application

Complete this application using the organization and project details requested below, and upload the required documents.
About your organization
Legal name of your organization
Any other names you operate under
Website
Registration status
Employer Identification Number (EIN)
Country of registration, registration number, and the authority you are registered with
Please explain how your organization is constituted and who is accountable for the funds
Organization mailing address, written the way it would be addressed in your country

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
Country where the project takes place
Specific location of the project (town, district, or village)
Year your organization was founded
Number of paid staff, and number of active volunteers
Primary contact: name and title
Primary contact: email address
example@example.com
Primary contact: phone, with country code
Is this person authorized to sign a grant agreement on behalf of the organization?
Please list the names and roles of your board members and officers.
We screen every organization and its officers against United States sanctions lists before any grant abroad, whatever the amount. This is a legal requirement on our Foundation, not a comment on your organization.
Have your organization, or any board member or officer, ever appeared on a sanctions or denied-party list, or been the subject of a government investigation?
Please explain
The project
Project title
In one sentence, what specifically will this grant pay for?
Which Rotary area of focus does this fit?
What does the money buy, in countable units? For example: 40 latrines, 60 surgeries, 300 textbooks. Give the cost per unit and show your arithmetic.
If part of the real cost is carried by someone else, such as donated staff time or government-supplied goods, tell us what and estimate its value.
Who benefits, how many people, and how are they chosen?
Project start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expected completion date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What evidence do you have that this approach works?
Which kinds of evidence can you offer? Choose all that apply.
We weigh these together rather than ranking them. A project with strong field experience and thin published research is not weaker in our eyes.
What is the situation today, measured before any money moves?
What number will you report back to us, and when?
Money
Total budget for this project, in United States dollars
Digits only. No currency symbol and no thousands separator. Write 4500 or 4500.50
What is your organization's total annual budget?
Digits only. No currency symbol and no thousands separator. Write 4500 or 4500.50
Amount you are requesting from our Foundation, in United States dollars
Digits only. No currency symbol and no thousands separator. Write 4500 or 4500.50
Exchange rate used, and the date of that rate
Itemized budget with unit costs

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Which other funders have you applied to for this project, which have committed, and for how much? Applying elsewhere never counts against you.
Tell us what happens to this project if you receive everything you have asked for.
Answer this and the next two separately. If the project proceeds essentially unchanged without our grant, we would rather know. An applicant who can name exactly which forty of the eighty latrines do not get built is telling us something useful.
Now tell us what happens if you receive half of it.
And what happens if you receive nothing at all.
How would funds be received?
How many people can authorise a payment out of the account that would receive this grant? Only one is not a disqualification, and it is common. We ask because it tells us how the money is controlled once it arrives.
Will any part of this grant pass to another organization or to an individual?
Please explain who, and why
Will the benefits last?
Who has repaired this kind of equipment or facility in this location in the last two years, and what did it cost?
Nearly every application tells us a community committee will maintain the project. The published follow-up research on projects revisited years after funding says that sentence predicts very little. Concrete answers here carry far more weight with us than reassurance does.
Name the supplier, the part, the price, and when you last bought one.
If there is a user fee or tariff: what is it, how much has actually been collected so far, and does it cover the operating cost?
Which recurring cost is funded after our grant is spent, and who specifically pays it?
Is there a written commitment from a government or institutional counterpart?
Attach that commitment

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May we check back at 12, 24, and 36 months, and share what we find with our club either way?
Rotary connection and conflicts
Is there a Rotary club or district in the project country?
Name the club or district
Have you approached them about this project? If not, tell us why not.
Could this project qualify for a Rotary Global Grant? Have you explored that route?
A connection does not disqualify you and it is common, because people who run charities are exactly who joins Rotary. The member simply takes no part in scoring or voting. An undisclosed connection, however, will end the application.
Is anyone in your organization connected to a member of the Rotary Club of Roseville by employment, board service, family, or having helped found the organization?
Name the member and describe the connection
Which Rotary Club of Roseville member, if any, suggested you apply?
Have you received funds from our Foundation before?
When, how much, and was a report filed?
Additional documents
Board roster, with affiliations

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Most recent financial statement

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Reference: name, organization, email, phone, and how they know you
If you do not have a financial statement, explain why not. This is an acceptable answer.
If any document we have asked for does not exist in your context, tell us why here. A written explanation is an acceptable answer. A blank is not, because we cannot tell the difference between impossible and unwilling.
Please confirm each of the following
Please confirm each of the following
Full legal name, which serves as your electronic signature

First NameMiddle NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

International Grant Application

About your organization

The project

Money

Will the benefits last?

Rotary connection and conflicts

Additional documents

Please confirm each of the following