Newberg Rotary Foundation Request for Funding NRFoundation This form should be received at least two (2-4) weeks prior to the date the funding is needed. “In Service Above Self” The Rotary 4-Way Test: Of the things we think, say or do: 1. Is it the truth? 2. Is it fair to all concerned? 3. Will it build goodwill and better friendships? 4. Will it be beneficial to all concerned? Board of Directors: Spike Sumner: Pres. Bob Ficker: V.Pres. Jeff Lane: Secretary Auggie Gonzales: Treas. Leona Todd Joe Morelock This form should be received at least two (2-4) weeks prior to the date the funding is needed. * Name of Organization, Individual, Activity or Project: * Amount of Request: $ * Date funding is needed: * Name of Primary Contact: * Primary Contact Email Address: Advisor/Sponsor: * Address: Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State ZIP Code * Day Telephone: Evening Telephone: * Brief Description of Organization, Activity or Project, & Sustainability: * Primary benefit to the community, the Organization, Activity or Project, # of persons impacted: * Total estimated cost of Activity or Project: $ (Attach a budget; include expenses and persons served. For requests over $5,000 include an Organizational budget.) Please attach a general budget of estimated expenses and persons served: Max file size is 52 MB. List other organizations from which you are requesting other funds: Organization: Amount: $ Organization: Amount: $ Organization: Amount: $ Organization: Amount: $ * GDPR Agreement: I consent to having this website store my submitted information so they can respond to my inquiry. See our Privacy Policy to learn more about how we use data.