Grant Request Form - Vernon Silver Star Rotary Club

We enthusiastically wish to support those Organizations and Projects within our community that will benefit the community.

Please note that Silver Star Rotary will not donate funds to or for the benefit of an individual. Our funds are only available to registered charitable organizations which may in turn help many individuals. We favour projects or programs which support our Mission and Vision, through a broad appeal to clients, & a low entry threshold.

Organization's Name

Organization's Address

Organization's Website

Is Organization a Registered Entity?

Yes

Organization's Registration # (if applicable)

What is the Organization's Annual Budget?

Please summarize the Organization's current source of funding

Please summarize the Organization's annual expenses

Contact's Name

Contact's Title

Contact's Email

Has the Organization Received Grant Support from VSSRotary in the past?

Yes

Please List dates and amounts of any prior Grants from VSSRotary (if applicable)

Contact's Phone #

Amount Requested

Describe the use of the Grant. Please include who will benefit from the project, how the Grant funds will be used, what other funds will be used in the project, and anything else that will help us assess the request.

If requested, can you provide a financial plan for the project or program?

Yes

Is this a One-Time Project or Ongoing program

One-Time

Ongoing

When will the project start?

When will the project end?