Grant Application

“Service Above Self”

Application for Funding

The Rotary Club of Buckhannon-Upshur is committed to supporting a variety of programs and activities, primarily those serving: Health & Wellness; Human Services including nutrition, shelter and emergency needs; Education and Youth Development; Environmental Stewardship; Cultural & Global Awareness.

Submit application to: Rotary Club of Buckhannon-Upshur, PO Box 2573, Buckhannon, WV 26201. Please allow 30 days for application to be reviewed and considered for funding. Only funding requests expected to be used within 180 days of the approval will be reviewed.

Applicant Organization Name:

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Primary Contact Name:

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Amount Requested:

Date Needed:

Name of Project/Activity:

When will project/activity occur?

Approx. number of people/students involved in implementing this project:

Approx. number of people/students who will benefit from this project:

Please give a complete description of your project/activity:

Project or Activity Budget (please list all project/activity revenue and expenses):

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Revenue:

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Revenue:

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Total Project/Activity Cost:

If project/activity is funded, check should be made payable to:

I/We will recognize the Rotary Club of Buckhannon-Upshur:

Other