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Rotary Community and Human Development Committee Request Form


Fill out the form below if you would like to make a request.

Organization:
Contact Person:
Phone:
Address:
Tax Exempt (Yes/No/Exemption #):
Describe Organization and Purpose:
Describe the Project or Need to be Funded:
Amount of Request:
Describe the Population Your Project Benefits (ie: children, elderly, disabled, needy, specific neighborhood):
Attach any other information you think is necessaryto evaluate your request including: Special programs or one-time capital expenditures will be favored over ongoing operating needs. Number of people helped, source of alternative or matching funding available to the organization, and expected life span of project or need funded should be explained below.
   

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