7:10 Grant Request Form

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Westminster 7:10 Rotary Club Foundation

P.O. Box 350141

Westminster, CO 80035-0141

www.westminster710rotary.org

Grant Request from the Westminster 7:10 Rotary Foundation

Please provide the following information for each grant request.  Include a cover letter on

organization letterhead stationary with detailed information about your grant request.

1.     Date:

2.     Name of Organization:

3.     Contact Person:

4.     Organization's or Contact Person's Mailing address:

5.     Phone/FAX/Email:

6.     501 (c) 3 status:

7.      We may request your most recent 990, as well as a copy of your    current year budget and your proposed budget for the coming year.  Please advise if these would not be available.

8.     Purpose/mission of your organization:

9.     Purpose of this grant request:

Note: With the exception of scholarships for study at accredited institutions or expenses incurred by a Youth Exchange student, direct allocation of funds will only be made to organizations.