Rotary: Making A Difference Grant Request Form Grant Guidelines* Individual community groups can to the Fitchburg-Verona Rotary Club for Grants up to $250. The purpose of these Grants is to support projects in our community that fulfill Rotary’s mission to connect people, transform communities, and solve problems. Eligibility Requirements for Grants Project must align with Rotary’s mission to connect people, transform communities, and solve problems. Organizations must be recognized by the United States Treasury Department as tax-exempt under Section 501(c)(3) of the Internal Revenue Code or be a K-12 public school in the United States under 170(b)(1)(A)(ii) of the Internal Revenue Code. Organizations must comply with the following non-discrimination policy by verifying the statement below. The Fitchburg-Verona Rotary Club will contact the organization for this verification. This organization does not discriminate on the basis of race, religion, color, national origin, citizenship, gender, sexual orientation, veteran’s status, age, mental or physical disability, genetic information, or any other class protected by federal, state, or local law requiring special opportunity. Rotary Grant Request Date: Name of Organization: Mailing Address: Phone: Website: Contact Person and Title: Phone: Organization’s Federal Tax I.D./E.I.N. Number: Amount Requested: Briefly describe the organization, including its mission and programs:
Rotary: Making A Difference Grant Request Form Grant Guidelines* Individual community groups can to the Fitchburg-Verona Rotary Club for Grants up to $250. The purpose of these Grants is to support projects in our community that fulfill Rotary’s mission to connect people, transform communities, and solve problems. Eligibility Requirements for Grants Project must align with Rotary’s mission to connect people, transform communities, and solve problems. Organizations must be recognized by the United States Treasury Department as tax-exempt under Section 501(c)(3) of the Internal Revenue Code or be a K-12 public school in the United States under 170(b)(1)(A)(ii) of the Internal Revenue Code. Organizations must comply with the following non-discrimination policy by verifying the statement below. The Fitchburg-Verona Rotary Club will contact the organization for this verification. This organization does not discriminate on the basis of race, religion, color, national origin, citizenship, gender, sexual orientation, veteran’s status, age, mental or physical disability, genetic information, or any other class protected by federal, state, or local law requiring special opportunity. Rotary Grant Request Date: Name of Organization: Mailing Address: Phone: Website: Contact Person and Title: Phone: Organization’s Federal Tax I.D./E.I.N. Number: Amount Requested: Briefly describe the organization, including its mission and programs:
Rotary-Grant-Request-Form.docx