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Rotary Club of South Lake Tahoe
Project Nomination/Grant Application Form

 Applications for grants and/or nominations for projects are comprised of two sections:

1. Organization and Contact Information
2. Proposal Information

Applications should be no more than 2 pages in length.

Organization and Contact Information: 

• Organization name
• Contact person name, address, telephone number, web-site and email address
• Contact person's role in the organization 

Tax Exempt Status (if applicable):  Please attach a copy of your IRS Letter of Determination indicating 501(c)3 tax exempt status if your organization is tax exempt.

Proposal Information: 

• Amount requested 
• Brief description of the project (20 words or less) 
• Objective(s) of project/program
• Strategies to achieve objectives 
• How does this project or program help fulfill the objectives of the Rotary Club of South Lake Tahoe? 
• How will this project or program contribute to the community? 
• How will you evaluate the results of this project or program? 
• Program/Project Budget (and other sources of funding) 
• Timetable for the project 
• Other comments 

Please send this application to:

Rotary Club of South Lake Tahoe
P.O. Box 19517
South Lake Tahoe, CA 96151
Or email in HTML, Microsoft Word or Adobe PDF format to khaven@gmail.com

 ***If grant or project is approved, recipient will be invited to come to a Rotary meeting to receive the funds or project approval.