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

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: $

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