Polson Rotary

Grant Application

Name of Organization

 

Mailing Address

 

City, State, Zip

 

Contact Person; phone #

 

Contact e-mail address

Tax Exempt ID number

 

Amount Requested

  $

Please check all that apply
This is a request for Òstart-upÓ fees for a new project
This is a one-time special project
This is to enhance regular operating budget

Please explain the above checked boxes below:

Statement of Need:  (describe the situation the project will address)

Procedures:  (Briefly describe steps necessary to carry out the project)

 

Please list any Polson Rotary Members that are involved in your organization and/or project.