Online Grant Application | Rotary Club of Parole Annapolis

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Name of Organization: *

Parent Organization (if different):

Organization Address:

Address Line 1

Address Line 2

City

State

Zip Code

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Name of Executive Director: *

Executive Director Phone: *

Previous Parole Rotary Foundation Grantee: *

No
Yes

Executive Director Email: *

Total Organization annual revenue: *

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Program Name: *

Phone *

Name of Program Director (primary contact): *

Email *

Brief descriptive title of your proposed program: (Less than 100 characters.) *

Brief Program Summary: *

Up to 400 character concise summary of proposed objective(s), target beneficiaries, and anticipated impact(s).

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Total Program Budget: *

Funds Requested from Parole Rotary Foundation: *

Estimated number of AA county residents to be served by Parole Rotary Grant *

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Program end date: *

Date Program start date: *

Primary category of request – check one category *

Education
Arts
Health/Wellness

Type of activity funds are requested *

Service: work effort benefiting children, e.g. teaching, counseling, …
Capacity Building: projects leading to lasting infrastructure that benefit children, e.g. sports equipment, trail building, bookshelves, ….
Welfare: goods distributed to benefit children, e.g. food, clothes, scholarships, …

File Upload - Attach Application Narrative *

Click or drag a file to this area to upload.

Upload Application Documents: Documents may be submitted in PDF and/or MS Word format.

File Upload - Attached Budget Details *

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Upload Application Documents: Documents may be submitted in PDF and/or MS Word format.

File Upload - Attach 501(c)(3) Certificate *

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Upload Application Documents: Documents may be submitted in PDF and/or MS Word format.

File Upload - Attach most recent IRS Form 990 *

Click or drag a file to this area to upload.

Upload Application Documents: Documents may be submitted in PDF and/or MS Word format.

By signing below, you affirm that your organization does not discriminate by race, creed, gender, sexual orientation, age, religion, disability, or national origin.

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Upon receipt of your application, the Program Director, (primary point of contact) will receive an email acknowledging your grant application was submitted.