Rotary Club of Park Rapids

PO Box 704, Park Rapids, Minnesota, 56470 

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ROTARY CLUB OF PARK RAPIDS

DONATION APPLICATION FORM

 

Donations from the Park Rapids Rotary Club should conform to the spirit of Rotary as expressed in the Four Way Test, and may not be used for operating expenses.  

 

The Four Way Test: Is it the truth?  Is it fair to all concerned?  Will it build 

good will and better friendships?  Will it be beneficial to all concerned?

 

The Donations Policy on the Club website (http://parkrapidsrotary.com) has more information about appropriate donations.  

 

Requesting organization: 

 

    Name: ____________________________________________________________

 

    Address: __________________________________________________________

 

    Phone: __________________Email: ____________________

 

Individual making request: __________________________________

 

Date of request: ____________________

 

Description of project:

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Estimated total budget: _______________ Project timeline: _______________

 

Number of persons benefitted: ______ One-time or ongoing project? _______

 

Amount requested from Rotary: ________ Other funding: ________________

 

Additional remarks: ______________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

Action taken by Park Rapids Rotary Club: 

 

Date _____ Approved ___ Declined ___ Tabled ___ Amount Approved _____