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Emergency Relief Funds Application
The Eastern Independence Rotary Club is offering micro grant relief funds to local organizations with specific and targeted needs resulting from the Covid_19 Pandemic. Please submit your request for grant funds for up to $500. Include the specific use for these funds in your needs description. Example of a needs use is to purchase PPE for community volunteers or staff or to provide emergency rent assistant to clients.
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* Indicates required question
Organization Name
*
Your answer
Organization Address
Your answer
Contact Person for Grant
*
First Name, Last Name, Title
Your answer
Phone Number
Format xxx-xxx-xxxx
Your answer
Email Address
Your answer
Organization Website
*
Your answer
Is the Organization a 501c3
*
Yes
No
Organization's Mission
*
Your answer
Specific Needs Description
*
Please include the specific needs use for the funds.
Your answer
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