Neenah Rotary
Grant Request Form

Use this online form to apply for a Neenah Rotary Grant. Beginning in 2008, only online applications will be accepted.

You can download the grant guidelines here.

  1. First complete the items indicated below.
  2. When completed, press the 'Preview' button found at the bottom of this form.
  3. Verify your information from the preview area. When the form is complete and accurate, press the 'Back' button in your browser and then press the 'Send' button.
  4. When the form is sent, you will receive an automatic email confirmation.

Organization:

Address:
Contact Name:
Contact Phone Number: Fax:
Contact Email:
Program Name:
Total Proposed Project/Program Budget: $
Amount Requested: $
Duration of Project/Program: from: to:
When do you need a response to your request and when are the funds needed?
Describe your organization:
  • What is your organization’s mission and what community problems, needs, or issues does your organization address?
  • Describe the population and geographic area you serve.
Describe your project/program:
  • Describe the program for which you seek funding, how the money will be used as part of the project, why you decided to pursue this project, and whether it is a new or ongoing part of your operating budget.
  • Explain the significance of the project and why your organization is qualified to carry it out.
  • How does this program enhance the existing services in the community, if applicable?
  • What are the goals, objectives, and activities/strategies involved in this request?
  • Outline the strategy/methodology you will use in the development and implementation of the program.
  • What is your timeline?
  • Describe your plan for evaluating the success of the project. Include the anticipated date you will submit your final outcome report to Rotary.
Finances: Please identify other funding sources that you have approached or that may be approached for this program/project:
Funding Source Amount Status If pending, please indicate the decision date:
Neenah Rotary Club   $ (m/d/yy)
$ (m/d/yy)
$ (m/d/yy)
$ (m/d/yy)


 

 

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