Appendix B DG outline application

All clubs requesting a District Grant for 2018-19 should complete and return this form by 31st October.

Appendix B



District 1175 - District Grant Outline Application


Rotary Club of ___________________


To be submitted, with a completed Memorandum of Understanding, to the Joint-Chairs, District Foundation Grants Sub-Committee (DFGS-C):

·         West clubs (AG areas 1,2,3,4,5,6) – Ron Dickerson             

·         East clubs (AG areas 7,8,9,10,11,12) – Jim Cobley


by 30th October 2018


Please do not extend this form, when completed, beyond one page


Title of Project 


Estimated start date

Estimated completion date


Brief Description of the Project





Which part of the TRF Mission (see page 2, para 4a) will this project address?


Anticipated Cost                                              £___________

Contribution from Club Funds                   £___________

Other sources of funding                             £___________

District Grant requested                              £___________

Project Contact

Name                                                                                                    Rotary position

E-Mail Address                                                                                 Phone





Post Code

Ron DickersonContact Ron Dickerson about this page:

(ALL fields required)