Personal Information

First Name
Last Name
Email Address
Street Address
City/State
Zip Code
Phone Number

Information of organization, group or individual seeking a donation

1. Who is this donation request for ? Please select from list.
If you answered "other" for question 1. , please provide more information here
2. What is the mission of your organization, group, or the individual applying? *
3. Have you, your organization or group ever received a donation from our club in the past? *
Yes  No  Not sure 
4. What is your relationship to the group or organization applying for a donation? *
5. What is your relationship to Rotary, if any (use N/A if no relationship)? *

Information on how the donation will be used

1. What is the name, project or type of event of which the donation will be used for? *
2. What is the goal of the event or purpose for the donation? *
3. What is the desired amount of funds you are requesting? *
4. What will the donation be used for? Please be specific*
5. If your donation request is approved who will be picking up the check? Please provide a name and phone number for this person. *
6. What is the date the donation is needed by? Please allow at least 3-4 weeks for a decision to be made by our board of directors. *
7. The Rotary Club of Beaufort is committed to strengthening the health, social, cultural and educational fabric of our community. With this in mind, please provide us with a summary of how this donation (if approved) fits into our philanthropy. *
8. Please identify those non-profit rating agencies that have rated your organization in the past 24 months and list the percentage of monies that are used for overhead, administration, and non-charitable costs.*
Note: If your donation request is approved, we will provide specific information to where and when your donation will be available for pick up.
The Rotary Club of Beaufort would like to thank you for completing this donation request form. Someone from our club will be contacting you soon. We will be unable to process your request if this form is not completely filled out.