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RCPB Community Grant Request 2019
Instructions:
Complete form in its entirety.
Be clear and specific in your request.
Application deadline is Friday, April 26, 2019.
A RCPB sponsor is required.
Making a request does not guarantee any funding.
Organization
*
Contact Name
*
First
Last
Contact Phone Number
*
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-
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Email
*
Confirm
Web Site (if applicable)
This helps us understand your organization but is not required. Just use the following format:
anynonprofit.org
Organization Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
If funded, make Check Payable to:
*
Is the Organization a 501(c)(3)?
*
YES
NO
If YES, is the tax status current?
*
YES
NO
Briefly explain main objective or purpose of your ORGANIZATION:
*
Amount of Request
*
$
Dollars
Use whole dollars with no punctuation (i.e. 1000 not 1,000)
Briefly describe PURPOSE of grant/specific project to be funded. Please include
proposed budget and indicate other sources of funding, the amounts for each and whether they have already been secured or not.
*
What are the BENEFITS of funding this grant request? How would this grant benefit the Kauai community?
*
Rotary Sponsor
*
Please select one
Peter Baldwin
Robert Bartolo
Leeroy Bedwell
Dr. John Black DDS
Audie Blevins
Salvatore Bosco
Bill Brown
Michael Carlsson
Jim Case
Lawrence Chaffin Jr.
Roberta Charles
Michael Curtis
Ted Faigle
Albert Ficker
Rebecca Fries
Rick Golba
Bruce Grantham
Tom Gross
Nancy Kanna
Larry Keys
Michele Kimura
Mary Kopitzke
Ron Mabry
Joseph McEvoy
Marcie Millett
Jim Miranda
Craig Nishimoto DVM
Jan Pascua
Rodney Pascua
Milani Pimental
William Prinzing
Terry Smith
Peter Sterne
Cyrus Tumbaga
Margee Wheeler
Sponsor Phone
*
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Sponsor Email
*
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