Global Grant Proposal for 2017-18 from RC __________________, D7910 Project Title Project Location City: ___________________ State/Prov. ____________ Country: ______________ Peace & Conflict Prevention/Resolution: ___ Disease Prevention and Treatment: ___ Project Area(s) of Water and Sanitation: ___ Maternal and Child Health: ___ (Check all that Basic Education and Literacy: ___ Economic & Community Development: ___ apply) Project Description The project will (briefly list goals and activities) Community Need (describe assessment) Who? How many? Beneficiaries Demographics: Project Duration Est. Est. End __________ ___________ (Mo./Yr.): (Mo./Yr.): Host Rotary Club Host Rotary Club: __________________ ID: ________ RI District: _________________ ID: Int’l Rotary Club Int’l. Rotary Club :___________________ ________ RI District: __________________ Project Partners (Non-Rotary entities) Total Budget: __________________. Sow details in the Budget Table on page 2 Project Budget Show contributions of partner clubs, Districts and non-Rotary entities in the Funding Table on page 2. Project Funding Measurement of Improvement . (baseline data, target improvements) Sustainability (How will community sustain the outcomes after the project ends) Completed and signed forms should be submitted via email as scanned (pdf) document to DGSC for 2017-2018, Rtn. Michelle Gasbarro, michellegasba@gmail.com, Tel: 978-514-2556 (Cell)
Global Grant Proposal for 2017-18 from RC __________________, D7910 Project Title Project Location City: ___________________ State/Prov. ____________ Country: ______________ Project Area(s) of (Check all that apply) Peace & Conflict Prevention/Resolution: ___ Disease Prevention and Treatment: ___ Water and Sanitation: ___ Maternal and Child Health: ___ Basic Education and Literacy: ___ Economic & Community Development: ___ Project Description (briefly list goals and activities) The project will Community Need (describe assessment) Beneficiaries Who? How many? Demographics: Project Duration Est. (Mo./Yr.): __________ Est. End (Mo./Yr.): ___________ Host Rotary Club Int’l Rotary Club Host Rotary Club: __________________ ID: ________ RI District: _________________ Int’l. Rotary Club :___________________ ID: ________ RI District: __________________ Project Partners (Non-Rotary entities) Project Budget Total Budget: __________________. Sow details in the Budget Table on page 2 Project Funding Show contributions of partner clubs, Districts and non-Rotary entities in the Funding Table on page 2. Measurement of Improvement (baseline data, target improvements) . Sustainability (How will community sustain the outcomes after the project ends) Completed and signed forms should be submitted via email as scanned (pdf) document to DGSC for 2017-2018, Rtn. Michelle Gasbarro, michellegasba@gmail.com, Tel: 978-514-2556 (Cell)
2017-2018-Global-Grant-Proposal-Form---Word-Format.docx