Request for Charitable Funding Application

All funding must directly benefit the community of West Haven. Requests will avoid partisan political involvement or the funding of teaching or advocacy of religious doctrine.

Funding must be for an organization and not for specific individuals. Funding for a project will be limited to one year and an additional request may be made the following year. A means should be provided for recognizing Rotary's involvement in funding the program.


Organization Name
Address
Primary Contact Person
Position with Organization
Email
Telephone
Fax
Name of Program
Funds Requested
Total Project Budget
What is the primary goal of the project?
What will the funds be used for?
How will you measure the success of the program?
Why is it not covered in your budget?
Will there be ongoing expenses?	YES NO
If your Program is funded, how will you promote Rotary's support?
Please attach any literature of web page links you believe will give the West Haven Rotary Club a better understanding of your organization and project.