Note:  Word document is available as a download on the homepage.
 

The Athens Rotary Foundation
Athens Rotary Club
P. O. Box 681
Athens, Ohio 45701

Total Organizational Budget                                  
Total Request                                  

 

Organization :

 

Name of Organization: _________________________

 

Executive Director/Manager: ___

 

Address: __

 

Phone:  _______                          Email: ___________       
Website: ____________

 

Name and Title of Contact Person: __

 

Phone: _                        Email: _____________________________

 

Number of Staff:  Fulltime: _______      Part-time: ________   
Volunteers: __

Project:
Title: _____
 
How many people will your project serve? ___

Geographic Area Served: __ 
Start Date for Project: __ 
Completion Date for Project: ___
New Project: _________ Ongoing Project: _________
Pilot Project: ______
Official Signature: ____

Project Narrative:
 

Final Report:  The Final Report is due 30 days after completion of project and should include such information as number served, how the funds were expended and the general result of the Project.
Name: _________________________________________
Organization: _____________________________