Grant Request Form

Grant Window
November 13, 2025 - December 31, 2025

What is your name? *

What is your organization? *

Your Mission Statement: *

Address

Street Address

City

State

Postal Code

Contact Phone Number *

Email *

Please provide your organizations 501c3 EIN#. *

Financials

How much is the total project cost? *

Please provide the amount of financial assistance you are requesting from the SW Rotary Club? *

Please Upload Your Project Budget as an EXCEL file. This is not required for grant request below $1,000.

If you have a logic model or other documentation about your project, please upload it. This is not required for grant request under $1,000.

Please Upload a copy of your organizations 990. This is required for all grant requests.

What date will you require funding by? *

Describe your project and why you need financial assistance. *

Are there other funders? If so, please tell us who they are and how much financial assistance they are providing. If no other funds simply type NONE. *

Are you collaborating with any other persons or organizations on this project? If so, please identify the project participants. If not, please type NONE. *

If your organization received funding from SW Rotary in a previous year, describe how your organization used those funds to make a community impact. If you did not receive funds, type "No Funds Received 2025" *

Alignment

Which of these domains does your project fall into? *

Describe how the funds will be expended to advance the cause you selected above. (Be Specific) *

How will you recognize Rotary for supporting your program? *

How will your project's impact on the community be measured? Please be as specific as possible. *

Is there anything else you want to tell us about your project or your funding request? *