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Contact Information
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Your Information
First Name
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Last Name
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The name of the organization requesting the funding
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Email
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Please provide a Brief Description of the Organization
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Is the organization a Register Canadian Charity
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How long has the organization been in operation?
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Please provide links to the organizations website and social media accounts.
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Please provide details regarding the project.
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Project Details – Name of Project
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Location of Implementation
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Group Responsible
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Contact Name
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Address of Group Responsible
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Contact Phone Number
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Email
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Project Goals to be achieved
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How will these goals be achieved?
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What evidence exists for the need of this project?
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How will the project beneficiaries be involved?
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At what stage is the project?
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Set Up
Middle
End
How does your project meet the Rotary Club of Whitby's strategic priorities and objectives?
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Children
Youth
Seniors
Disabilities
All of the Above
Other
How does your project meet the needs of the above selected group?
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How much is being requested from the Rotary Club of Whitby?
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Are you seeking funding from other sources?
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Yes
No
Have you been approved for funding by other sources?
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Yes
No
Have you ever received funding from the Rotary Club of Whitby previously?
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Yes
No
If yes, in what years? and how much did you receive?
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How did you hear about the Rotary Club of Whitby?
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I know a member of the club
I am an active member
I have received funding previously
Other
Boomerang Support (How can your organization provide support to The Rotary Club of Whitby either by volunteering at our fundraising events or by assisting in other ways?)
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Impact Report (If the funding is approved, The Rotary Club of Whitby will require an Impact Report after the funds have been used. The criteria for the report will be shared at the same time the funds are provided.)
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