District Grant Application

INSTRUCTIONS:
Complete the application in its entirety. Both the Grant Primary Contact & Club President will be able to electronically sign and submit. Electronic submissions only. Question responses have a limit of 2,000 characters with spaces each.

(See below for instructions - READ CAREFULLY)

A few reminders….

Compliance with Rotary Foundation Requirements and Restrictions. As the qualification process makes clear, all district grant projects must adhere to the Terms and Conditions for Rotary Foundation District Grants and Global Grants. The most salient of these rules were summarized in the grants overview on which you were tested. Be sure to go back to that list if you have any doubt about whether your planned activity might violate one of the applicable rules. Remember that several of them relate to ensuring that Rotarians play an active role and enhancing Rotary’s image in the affected community.

District 5130 Requirements and Policies. While District 5130 is charged with ensuring compliance with the Rotary Foundation’s requirements and restrictions, it has also developed its own policies for the small grants it administers.

Proposed projects should fund new or expanded activities for the club and Rotarians must be involved in more than making decisions and writing checks. While district projects that can be completed within a limited period will sometimes be approved for a second or third year of funding, these grants are not intended to replace a set portion of the club’s budget on an annual basis. They are intended to provide seed money and allow clubs to experiment with new ideas.

In 2026 - 27 the maximum District Grant allowed per club is $2,000 as a 1 to 2 match for club contributions. Each club can use the entire amount for either a local project or an international project application. Or, it may be split between two smaller grants. *The grant is paid on a REIMBURSEMENT BASIS when final report is *received and approved.

District 5130 Grant Application - DEADLINE JULY 30, 2026

Lead Club Name Supporting Club Names (if multi club project) Project Name Please describe the project How is the community affected? How many people will benefit from the project? How will Rotarians be involved in implementing the project? If this is an international project, will another Rotary Club assist in implementation? If non-Rotary organizations are involved, please describe their role. How will you publicize your project? Project Financing - Detail ALL Funding Sources and $ Amounts Project Expenses - Detail Below (TOTAL MUST EQUAL FINANCING ABOVE) We confirm the project will NOT begin or any funds spent until grant approval (expected by September)

Will the project be completed by May 31, 2027? (due date for the Final Report is May 31, 2027) Yes No

We certify that the cost of this project will be funded by our Club and understand that District Grant Funds reimbursement will be received after submission and approval of the Final Grant Report. Documentation for Project (Optional)

Documentation for Project (Optional)

By signing this application, we certify that the project described in this application meets the requirements for a Rotary Foundation District Grant project as we understand them. We acknowledge that the District Grant funds will be disbursed on a reimbursement basis only after the Final Report is accepted by the District Foundation Grant Subcommittee as complete. If for any reason the project is changed or abandoned, we will promptly notify the Grants Subcommittee Chair at rotary5130grants@gmail.com

INSTRUCTIONS FOR APPLICATION SUBMISSION: (PLEASE READ CAREFULLY)

1. Make sure all required fields above are complete.
2. Complete the fields below for BOTH the Club President Name/ Email and the Primary Contact Name/Email
3. Electronically Sign and Date whichever role you are
4. Click the blue SAVE button. You can come back and edit/save the document with changes for up to 30 days if needed. NOTE - It will generate a new password*)
5. Once you are ready for submission - On the next screen SHARE this document with the other signing party. They will receive an email to open, electronically sign and SUBMIT your application.
6. Your report will be accepted or rejected during the review process. If your report has been rejected, you will receive a message from FormSmarts with a link to your report, your email, and a password. Go into the form and review the additional information needed. Make the necessary changes, reinput the date for your electronic signature and re-submit for review.
If your report has been accepted, you will receive a message from FormSmarts with a link to your report, your email, and a password. Go back into the form and update the date field by your electronic signature and click on Continue. This will bring up a screen asking you to review your report. Note: a CAPTCHA box may appear at the top of the screen asking you to type in the characters as shown above the box. If the report looks complete, press Confirm. You will receive an acknowledgement from FormSmarts.
7. Important:
The person who submits the application or final report will receive notifications from FormSmarts for next steps.
The Submit for Review process creates a temporary file that is open for 30 days. Action must be taken during that window to move the report to the next step. The final submission will create a permanent file with your grant report and all attachments.

Club President Name Club President Email Address Signature

Date: Thursday, 2 April 2026 (EDT)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

Scan this QR code with your phone: