Request for funding application



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THE ROTARY CLUB OF LAKE FOREST PARK

P.O. BOX 55983

LAKE FOREST PARK, WA 98133



"Service Above Self"


2016-2017 COMMUNITY REQUEST FOR FUNDING APPLICATION
Imagine, a place where there are people in need!!

Now you can design a new project that will benefit those people.
The Rotary Club of Lake Forest Park is pleased to announce its 2016-2017 Communiity Request for Funding, which provides expanded Community and Human Services for those in need in north King County. Rotary nurtures experiences that meet Rotary International’s six areas of focus (Peace and conflict prevention, Disease prevention and treatment, Water and sanitation, Maternal and child health, Basic education and literacy, Economic and community development) that are an integral part of our mission to enhance the quality of life in our community and globally. Local non-profit organizations responding to the needs, services, or programs directed to these initiatives are eligible to apply. New funding proposals are encouraged that extend to an organization's usual or unfunded endeavors that would truly benefit our local community.
GUIDELINES:

The Community Request for Funding Application for the project may not exceed $10,000. The application is available online at www.lakeforestparkrotary.com.

One or more funding applications may be submitted for projects your organization wants to address. If you are submitting more than one, please prioritize the requests by placing a number in the space on the upper right hand corner of page 3 of the form.

Projects must take place within north King County & benefit local residents.

Funds are to be directed to the cost of the specific services for which you are applying and may not be used by or directed to a for-profit program or project or used to support general operating costs.

Request for Funding Applications may show evidence of other support, i.e. partnerships with NGOs, sponsorships or private donations.

Programs & projects must be advertised to the general public. Describe how Rotary will be acknowledged: Printed material must state: "This project is supported in part by The Rotary Club of Lake Forest Park" with the Rotary International emblem displayed.

Recognition of your project's progress or completion will be celebrated in June as part of Rotary's "Changing of the Guard" annual meeting and dinner.

Final report and Presentation to Rotary

A final report is due within 30 days after the completion of the project, including promotional materials, newsletters, fliers, press clippings, photos. You will be invited to share your project with the members of the Rotary Club of Lake Forest Park as our guest at our regular Wednesday morning meeting, speaking between 8:00 and 8:30AM.



Submit completed application and direct questions to Heidi Shepherd at: hshepherd@seanet.com or to Carol Dahl: dahlcv@juno.com
2016-2017 COMMUNITY REQUEST FOR FUNDING APPLICATION

APPLICANT INFORMATION:

Legal name of organization requesting funding

__________________________________________________________________________________

Mailing address


______________________________________________________________________________

City State Zip

Project Name: ___________________________________________________________________
Project Manager or Lead: ___________________________________ Phone:

Email: _______________________________________ Website: __________________________



COMMUNITY REQUEST FOR FUNDING APPLICATION INFORMATION:

Project Title: __________________________________________________________________


Project request is for $
Project Description & Location:

Project Start Date: _______________ Project End Date: _________________________


Check here if project's success depends on LFP Rotary Club grant approval.



2016-2017 COMMUNITY REQUEST FOR FUNDING APPLICATION

PRIORITY #


Project Name:
Area of Focus:
Community Need:


Project Description (Tell us your story):
Who will be served?

How many will benefit directly from your project?




How will your project meet unmet needs?

How can Rotarians be directly involved as volunteers?



How will you measure success?

How will the project be sustained after the grant has concluded?

Project start and end date:

2016-2017 COMMUNITY REQUEST FOR FUNDING APPLICATION


REQUIRED APPROVALS:

Project Manager or Lead Signature/Date



Date documents sent to LFP Rotary Date Received by LFP Rotary:


BUDGET




FUNDING




EXPENSE CATEGORY

AMOUNT

SOURCES OF FUNDING

Amount Requested



















































































































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