Application for Funding

Please use the form to request a grant from the Rotary Club of Waiheke Charitable Trust. If you would like to discuss it first please get in touch.

Please complete this form and attach any additional relevant information to it.

Name of Applicant *

Phone Number *

Email Address *

Organisation (if applicable)

If a Rotarian is nominating you, please provide their name

For what purpose do you require this funding? *

When is it?

Where will it be held?

Why should the Rotary Club of Waiheke Island Charitable Trust support this application? *

Are there benefits for the Waiheke Community using funds given by our Community? *

What are the benefits to you and/or your organisation? *

What are the expected outcomes? *

Is there anything else you would like to tell us about this request for a grant? *

Will there be any PR for the Rotary Club of Waiheke, & if so when & where? *

Has other funding been arranged ? *

Or have you applied for funding elsewhere? No/Yes - If yes, where have you applied? How much did you apply for? *

Amount requested from Rotary Club of Waiheke Island Charitable Trust *

If approved, to who or which organisation should the it be made out to? *

If available, Bank Account Number and Reference Details

Please tick if you are prepared to speak at a Rotary dinner meeting?

Please tick if you can supply a picture and paragraph for use on our website and/or Facebook page after the activity is completed

Please upload a statements from your second independent referee *

Please upload a statements from your first independent referee *

Submit

Thank You for your Application