Littleton Rotary Foundation Grant Application

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Littleton Rotary Foundation Grant Application

Request for Funding

Please review general grant guidelines before applying. They can be found here: https://docs.google.com/document/d/1KeWdbkKZFLbpt3y5qZ5URvfFCWD4y9MgEwJTZPxCye0/edit?usp=sharing

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Name of Requesting Organization *

Mailing Address *

Name of CEO or Executive Director *

Grant Contact Person *

Grant Contact Person's Title *

Grant Contact Person's Phone Number *

Grant Contact Person's Email Address *

Name of Rotarian Sponsor (if applicable)

Is Organization a 501(c)(3) *

Yes

No

If a 501(c)(3), include Tax ID Number

Is Organization Part of a Government Agency? *

Yes

No

Grant Amount Requested *

Please enter only numbers (no commas or dollar signs)

Organization's Mission Statement or Brief Description of Goals *

Geographic Area Served by this Organization *

Name of Project to be Funded with this Grant *

Describe Project to be Funded *

Projected Cost of this Project *

Please enter only numbers (no commas or dollar signs)

Other Sources (and Amounts) of Funding for the Project *

Organization’s Combined Income *

Please enter only numbers (no commas or dollar signs)

Organization’s Combined Expenses *

Please enter only numbers (no commas or dollar signs)

Organization’s Assets (end of last year) *

Please enter only numbers (no commas or dollar signs)

We appreciate acknowledgement that increases awareness of Rotary's significant community involvement. Describe how you might help us achieve this goal (i.e., signage, press, newsletter, other announcements). *

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