Please answer the questions below.

Click “Done” at this bottom of this form when you are finished, and your data will be saved so that you may sign in again and edit your answers, if you wish.

Do not click “Exit this survey” in the upper right corner of the screen. If you do, your data will not be saved.

You may return to your Grant Application at any time to edit the data you have entered. To do this, you need to click on the same "Darien Rotary Club Web Site Link" you clicked on to get to this page, FROM THE SAME COMPUTER you are using now. This is required, because the system recognizes your IP Address to access "YOUR” Application. If you sign on from a different computer, you will get a blank Grant Application.

* Person Requesting Grant

* Requesting Organization Name (If applicable)

* Amount Requested

* Purpose of Request - A short, concise description of what the money will be used for.

* Reasons for Request

* Please describe the consequences of not receiving this grant.

* My application is...