Clackamas County Rotary Foundation


Clackamas Rotary Foundation Fundraiser Proposal

Please complete all sections of this application. Attach additional pages as needed or answer the questions below on blank paper, providing the answers in the same order as the application. Incomplete applications will be returned. 

SPONSORING MEMBER/NAME OF ORGANIZER ____________________________________________________

PHONE NUMBER _______________________________________  DATE   _______________________________

E-MAIL ADDRESS ____________________________________________________

 

1.   PROJECT NAME AND DESCRIPTION
Note: The project cannot be started until this application is approved by the Clackamas Rotary Foundation Board.

    1. Describe the essential elements of the project:

 

    1. How will the project meet the needs of the community?

 

    1. Will Rotarians actively participate in the implementation of the project?  If yes, how many, for what purpose and for how long?

 

D.  Location and date of event:

 

E.   Who are you going to promote this event to?  How are you going to promote?  Estimated number of participants?

 

F.  What is/are the benefit(s) of this fund raising idea?  Why would individuals want to contribute/donate to this event?

 

G.  What else should we know?

 

2.  COOPERATING ORGANIZATION
Is another organization directly involved in the implementation of the project?  If so, provide a letter from the organization indicating how they will work with Rotarians in the implementation of the project and agree to cooperate in any financial review of activities associated with the project.

    

3.   PROJECT BUDGET

Items to be Purchased                                                                                                                         Cost

A. ____________________________________________________________________________________

B. ____________________________________________________________________________________

C. ____________________________________________________________________________________

D. ____________________________________________________________________________________

E. ____________________________________________________________________________________

Project Budget Total: _______________________________   
4.   PROPOSED FINANCING List all Financing i.e. donations/grants (attach requests)

 

5.  APPROXIMATE AMOUNT TO BE RAISED:  ______________________

 

6.   PROJECT TIMELINE:

 

       Estimated Start Date of Project _______________                             Completion Date of Project _________________


Project Committee: A committee of at least two Rotarians must be established in the sponsoring club.  It is the committee’s responsibility to coordinate the project locally, monitor funds, and provide financial accounting to the Clackamas Rotary Foundation Board for the duration of the project.

Name

 

 

Telephone

Preferred Number

 

Rotary Position/Title

 

 

 

Secondary Number

 

E-Mail

 

 

 

 

 

Mailing Address

 

 

Fax

Preferred Number

 

Additional Contact


Name

 

 

Telephone

Preferred Number

 

Rotary Position/Title

 

 

 

Secondary Number

 

E-Mail

 

 

 

 

 

Mailing Address

 

 

Fax

Preferred Number

 

 

 

 

 

 

 

 

NOTE: Please retain a copy of this application for your files, and send a copy to____________________________________. The Application may be submitted electronically.

7.   AGREEMENT FORM
This Application and Agreement are entered into between the identified project sponsor below and Clackamas Rotary Foundation Board.  The project sponsor agrees to:

  1. To utilize the Project Funds to support a short-term humanitarian and/or educational project as outlined in this application, which benefits a community in need. 
  2. To defend, indemnify, and hold harmless Rotary International (RI), TRF, District 5100, their respective Directors, Trustees, Officers, employees and committee members (Collectively RI, TRF, District) from any and all damages, losses, judgments, costs, fines, awards, liabilities, and/or expenses, including without limitation reasonable attorney’s fees and costs of litigation, asserted or recovered from RI/TRF/District, that result or arise directly or indirectly, from the implementation of this project.
  3. That this agreement may be cancelled for any reason without notice upon the failure of the sponsors to abide by the terms set forth herein. 

All applicable laws of the State of Oregon, USA, govern this Agreement.

By signing on the signature page attached, I certify that the sponsors acknowledge and accept the terms of this Agreement and agree to abide by the stipulations set forth.

Clackamas Rotary Club Foundation

                                                                                   
Club President _____________________________________________      

Date__________________________________

 

- - - - - - - - - - - - - - - - - - - -   DO NOT WRITE BELOW THIS LINE   - - - - - - - - - - - - - - - - - - - - - -

 

Clackamas Rotary Club Foundation Board        
____  approves the request      ____ amend the request and resubmit    ____denies the request

 

Reviewed by ___________________________________                                                      Date ____________________

 

                Approved by ____________________________________                                                    Date ____________________