Foundation Resource Center



Bill Griffin
Foundation Committee Chair
Office tel. 386-254-4062
Email: Bill Griffin

Future Vision GLOBAL GRANT APPLICATION

This is the information you will need to gather before submitting your application form. You can download PDF and MS .doc versions of the form for submission. Click here: Application PDF   Application Doc

  1. HOST PARTNER

    1. Type (check one): Club ______  District ______

    2. Last Name_________________________ First Name _________________________

    3. E-mail address ________________________________ Telephone ____________________

    4. District number _________________________

    5. Club name/number: _________________________

  2. INTERNATIONAL HOST PARTNER

    1. Type (check one): Club ______  District ______

    2. Last Name_________________________ First Name _________________________

    3. E-mail address ________________________________Telephone ____________________

    4. District number _________________________

    5. Club name/number: _________________________

  3. Describe the benefiting community including its location using any relevant geographic and demographic information.

  4. What community needs have been identified?

  5. How are these needs currently being addressed with local resources and/or government agencies, NGOs, etc.?

  6. Briefly summarize (250 words or less) the proposed activity including the needs served, the intended beneficiary, and the potential benefits to the community.

  7. List any cooperating organization(s)or educational institutions involved in the proposed project.

  8. Describe how the benefiting community will be involved in the activity(ies). Provide specific examples.

  9. Has the benefiting community confirmed that it would like the activity(ies) to take place?

  10. Which Area(s) of Focus is the proposed activity aligned? Check the box(es) that apply.

    1. Peace and conflict prevention/resolution

    2. Disease prevention and treatment

    3. Water and sanitation

    4. Maternal and child health

    5. Basic education and literacy

    6. Economic and community development

  11. Describe how the activity(ies) will address the goal(s) of the area(s) of focus.

  12. What will be the immediate and long-term outcomes of the activity(ies)?

  13. Explain how all involved parties will act to ensure the sustainability of the activity(ies).

  14. Proposed start date ________________

  15. Proposed completion date ________________

  16. PROPOSED BUDGET in US$ ________________

    1. Medical supplies _________

    2. Training materials _________

  17. PROPOSED FINANCING

    1. DDF Amount in US$ ______________

    2. Rotarian Cash Amount in US$ ______________

    3. Additional Outside Funding in US$ ______________

    4. Requested TRF Match in US$ ______________