Your Information
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Project Title
Rotary Year
Country
Location
Areas of Focus (Check all that apply, if any)
Peacebuilding and conflict prevention
Disease prevention and treatment
Water, sanitation and hygiene
Maternal and child health
Basic education and literacy
Community economic development
The environment
Activity Type Select an Activity Administration (Max 3%) Contingency (Max 20%) Community Development: General Community Development: Construction/Renovation Community Development: Disaster Recovery Community Development: Volunteer Services Community Needs Assessment Education: General Education: Literacy Education: Scholarship Education: Volunteer Services Food/Agriculture: General Food/Agriculture: Volunteer Services Grant Management Seminar Group Exchange Health: General Health: Disease Health: Volunteer Services Peace: General Peace: Volunteer Services RI Youth Programs (Youth Exchange, RYLA, Rotaract, Interact) Scholar/VTT Orientation Water: Sanitation Water: Supply/Access Water: Volunteer Services
Project Summary: Short sentence to explain the project. This project description should provide information about what activity is being funded, who is benefitting from the activity, and the name of the location of the project or activity, including the city or country. For example, "Five computers provided to schools for children in Addis Ababa, Ethiopia."
Project Description: You should include what needs have been identified, how the project will meet those needs, and the timeline for your project. Please specify what the project funds will be used for and how club members will be involved.
Project Contact Person
District Number
Rotary Club of
Contact Name
Email
Project Budget
Total Budget
Club Contribution
District Contribution (DDF)
Payment Information
This is the information to provide to your District Leadership to send the check payment after the project is approved.
Contact Phone Number
Make checks payable to
Address
City
State
Zip
Check this box to certify that this project fits within the guidelines of the Rotary Foundation Mission Statement: The mission of The Rotary Foundation is to enable Rotarians to advance world understanding, goodwill, and peace through the improvement of health, the support of education, and the alleviation of poverty.
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