Small Donations up to a maximum of $500.00 are available for 2018'19.
Rotary Club of Hamilton ‘AM’
PO BOX 209, 423 King St West, Hamilton, ON L8P 4Y1
 
Small Donation - Request Form
 
Date:  ______________ Amount requested: [max $500]    $____________  
                               
Organization the donation would be payable to if approved:
        
Name of organization:   _______________________________
 
Attention of: ________________________________________
 
         Address:     _________________________________________
 
                  City: _________________               Postal Code:  _________
 
 
                  Contact info – Phone number ________________________
              Email ________________________________
 
Please confirm compliance with donation criteria and attach explanatory notes:
 
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Criteria to be met
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1
The donation must be for a specific project
 
 
2
The project must be community focused
 
 
3
The project must fit with current Rotary Club of Hamilton AM’s priorities such as i) Literacy,
ii) poverty, iii) children’s well-being, etc.
 
4
The project must be within the City of Hamilton, preferably the North End if possible or within  reasonable proximity
 
5
The donation must be time specific, not open- ended and thereby used within a reasonable time frame, in the opinion of the Rotary Club
 
 
 
Signature of Official submitting request ______________________
 
Please email your request to the Rotary Club of Hamilton AM –
Ruth Liebersbach, 2018-2019, Chair, Small Donations Committee at ruth.liebersbach@gmail.com