Environmental Project Reimbursement Request
Step 1 of 2: Submit
INSTRUCTIONS: For the 2023 – 24 Rotary year in District 5130, $600 will be sent to all Clubs that provide a brief report on their small environment project. Funding is on a reimbursement basis. Funding matches are not required however, again, paid on a reimbursement up to the limit.
Projects do not require prior approval to qualify for this funding.
Please complete the Enviromental Grants Receipts Worksheet to itemize your expenses for this project. Upload the completed file plus receipts for purchases and proof of payment using Club funds under Project Invoices / Club Checks.
Project Report - Due NO LATER THAN MAY 31, 2024
Club Name
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Project Name
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Please briefly describe your project including cost. How did Rotarians actively participate in this project?
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Preferred Method of Payment
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Check
ACH (you will be contacted to establish or confirm secured bank account information)
Mailing address for reimbursement check
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Project Invoices/Club Checks
*
Remove
Remove uploaded file
Additional Invoices
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Additional invoices
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Remove uploaded file
Additional invoices
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Project Photos
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Additional photos
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Additional photos
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I certify that this project was completed.
INSTRUCTIONS FOR APPLICATION SUBMISSION: (PLEASE READ CAREFULLY)
Make sure all required fields above are complete.
Complete the fields below for President Name/Email
Electronically Sign and Date
Click Continue
Review your information.
If information needs to be changed, click Modify button and make changes and click Continue
If the information is correct, click Confirm to submit.
Club President Name
*
Club President Email Address
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Signature
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Date:
Monday, 29 April 2024 (EDT)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Scan this QR code with your phone:
Date
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*
indicates required fields