2018-2019 District Grant Final Report Due August 30th 2019

Please note the following:

CLUBS WHO DO NOT SUPPORT THE ROTARY FOUNDATION WILL NOT BE ELIGIBLE FOR FUNDS

CLUBS WHO HAVE NOT PAID THEIR DISTRICT DUES WILL NOT BE ELIGIBLE FOR FUNDS

• Reports must be submitted using the form below. Please type the report. Retain a copy of the entire report for your records it will be e-mailed to you.

• Clubs should retain original receipts for all grant-funded expenditures and provide copies to the district. The district must maintain copies of all receipts related to grant-funded expenditures in accordance with local laws and for a period of at least five years following closure of the grant.

• Bank statements showing grant deposit and all expenditures related to the grant must be maintained by the club and a copy scanned and emailed as instructed above.

• The approved amount of the grant will be determined by our District Grants Subcommittee and may be less than the amount you request but it will not be greater than the amount you request.

• Approved District Grants must include the active participation of Rotarians

• District Grants will not be awarded to clubs for High School or College scholarships, Vocational Training Teams, or District programs with a budget line item (i.e. Youth Exchange, RYLA, etc.)

• Expenses cannot be incurred until after approval in order to qualify (all receipts must be dated AFTER grant approval date)

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* 1. Who is filling out this final report?

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* 2. What is your title?

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* 4. What is the club mailing address?

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* 5. What is the project title?

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* 6. What is the approved grant award amount?

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* 7. What is the project description? (What was done, when, and where did the project activities take place?)

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* 8. What is the project reach? How Many people benefited from this project? (Estimate as best as possible)

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* 9. How many Rotarians participated?

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* 10. What was the Rotarian Involvement? Please describe the involvement of Rotarians (provide a minimum of two examples, NOT including financial support)

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* 11. Cooperating Organization(s)
Did you partner with any non-Rotary groups on the project? If so what was their role?

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* 12. Please upload your receipts Here

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* 13. Please Upload project photos
Please make sure the photo includes a Rotary sign! We may feature the project in a Rotary presentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 14. Do you have a video?
This is not required but we may feature the project in a Rotary presentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 15. Certification
By entering my name below, I confirm that to the best of my knowledge these District Grant funds were spent only for eligible items in accordance with Trustee-approved guidelines, and that all of the information contained herein is true and accurate. I also understand that all photographs submitted in connection with this report will become the property of RI and will not be returned. I warrant that I own all rights in the photographs, including copyright, and hereby grant RI and TRF a royalty free irrevocable license to use the photographs now or at any time in the future, throughout the world in any manner it so chooses and in any medium now known or later developed. This includes the right to modify the photograph(s) as necessary in RI’s sole discretion. This also includes, without limitation, use on or in the web sites, magazines, brochures, pamphlets, exhibitions and any other promotional materials of RI and TRF

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