Youth Services Committee Application

Name of Organization Needing Funding:
Contact's Full Name: *required
Contact's Email: *required
Contact's Telephone Number: *required
Have you ever received any Rotary funding?
If yes, please elaborate:
Are any other requests for Rotary funding in process?
If yes, please explain:
Brief History of your organization (when founded and why):
Address how, after reading our guidelines, you feel that you fit into our objectives in investing in our shared community:
Describe how we can help you and the number of kids anticipated to be impacted:
For this past fiscal year, what do you see as a breakdown of your organization's expenditures:
Administration:	%
Fundraising:	%
Program:	%
Are you collaborating with others in this project?
If yes, please elaborate:
What is the drop-dead, most exciting part of this project that gives it life?
Please provide a one-page budget of your organization showing where your request fits in: