Wisconsin Rapids Rotary Foundation Grant Application
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1.
Name of Organization
(Required.)
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2.
Contact Person Name
(Required.)
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3.
Contact Person's Title Within Organization
(Required.)
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4.
Mailing Address of Organization
(Required.)
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5.
Contact Person Email Address
(Required.)
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6.
Contact Person Phone Number
(Required.)
7.
Organization's Website (if applicable)
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8.
Amount Requested
(Required.)
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9.
Is the Organization a non-profit with a 501(c)3 designation?
(Required.)
Yes
No
If "No" please explain:
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10.
Which focus area does the program fit into?
(Required.)
Youth
Vulnerable Populations
Other
If "Other" - please explain:
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11.
Describe the program for which you are seeking funding.
(Required.)
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12.
How many individuals will be impacted by this funding?
(Required.)
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13.
What outcomes will you use to measure success of this program?
(Required.)
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14.
How will the funds specifically be used?
(Required.)
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15.
What other funding sources do you have for this program?
(Required.)
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16.
What is the sustainability of this program after the use of this grant?
(Required.)
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17.
What approvals need to be secured before the project can proceed?
(Required.)
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18.
What is the anticipated start date and duration of the project?
(Required.)
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19.
Will the project allow for “hands on” input by Rotarians or is it a cash only request?
(Required.)
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20.
What date do you need the funds you are requesting?
(Required.)
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21.
How will Rotary be recognized?
(Required.)
Current Progress,
0 of 21 answered
