Grant Application for Waterloo Rotary
Please e-mail completed application to rotarywaterloofinance@gmail.com

 Name of Organization:                                              
  Address: 

          Telephone:
Web Site & email contact:
 Name of ED/CEO:
Name of Board Chair:

Rev Can Charitable Business number: If applicable

Date Needed:

Amount requested:

Briefly describe the objectives of your         organization:

Purpose or project for which funds are being requested:

Describe how you will measure success:

Other sources of funding:

Budget for your organization and/or this project:

Public relations and recognition:

Other information you wish to add: