DUCK BUCKS APPLICATION!

The Rotary Club of Silverdale is proud to work with our community partners to better serve our local community. We hope to assist as many organizations as possible with Rotarian labor and/or funding! As you complete this application, please keep in mind any ways by which you can acknowledge our contributions to your programs or how your organization might be able to assist us in our fundraising endeavors. By working together, we can expand our community presence and increase funding to provide more resources to organizations like yours in the future! Thank you!

Except in special circumstances, Rotary Duck Buck monetary grants are awarded to organizations who meet the following general criteria:

Local Organizations with IRS 501(c)(3) tax-exempt status.
Project is focused on Kitsap County, with particular emphasis in the Silverdale area.
Project has a significant community impact.
Request is for a specific project – or a compelling case is made for general operating expenses.
The organization is willing to demonstrate that funds have been expended for the purpose requested and is willing to send member(s) to report the results of the project at a future Rotary meeting.
Duck Buck$ Grants typically range from $250 to $3000..

NOTE: You can always save your application and come back later to finish it. Just click “Save and Continue” at the bottom of the page.

DUCK BUCK APPLICATION

1. YOUR INFORMATION:
Organization:*
Date:*
MM slash DD slash YYYY
Name:*
First Last
Title:*
Email:*
Phone:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Purpose of Your Organization:*
Service Area:*
What geographic area does your organization serve and what geographic area does your project serve?
2. YOUR PROJECT:
Briefly describe your project and request:*
If monetary, how much are you requesting?
Date funds and/or labor is required:*
(Note: our committee meets monthly, on the second Tuesday of the month. We need time to receive your application, and have one of our members contact you to discuss your application before that meeting. We may have questions for you. Generally, please allow 4-6 weeks for a decision.) *
MM slash DD slash YYYY
Is this an ongoing or one-time project:*
- on-going
- one-time
Project start date:*
MM slash DD slash YYYY
Project end date:*
MM slash DD slash YYYY
Are funds from other orgs. committed?*
- Yes
- No
If yes, how much?
Organization:
Acknowledgment:*
If granted, what kind of public acknowledgment can you provide the Silverdale Rotary to help promote awareness and goodwill in our community? (ie: Newspaper, email lists, company mailers, Rotary sticker display etc.) *
Have you received funding from the Rotary Club of Silverdale previously?*
- Yes
- No
If yes: When, how much, and for what projects?
3. REQUIRED FILES:
FILES LIMITED TO 2mb EACH: The following items are required to be submitted with this application. Note - if any items are not available please explain why they are not available.
1. Annual Report
Max. file size: 32 MB.
2. Current Organization Budget
Max. file size: 32 MB.
3. Project Budget
Max. file size: 32 MB.
4. IRS 501(c)3 Tax-Exempt non-profit certification for your organization
Max. file size: 32 MB.
5. List of your organization’s current Board of Directors members
Max. file size: 32 MB.
6. Please attach a complete description of the project to include: (A) The expected outcome, (B) Who will be impacted, and (C) The benefits to those served
Max. file size: 32 MB.
Explanation for any missing attachments: (or anything else you would like us to know)
4. IN CLOSING:
(By placing your name below, you are signing this application and verifying that all the information submitted is correct to the best of your knowledge)
Applicant's Full Name:*

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DUCK BUCKS APPLICATION!

DUCK BUCK APPLICATION

1. YOUR INFORMATION:

2. YOUR PROJECT:

3. REQUIRED FILES:

4. IN CLOSING: