2025 - 26 Governor's Citation Grant for Mental Health

INSTRUCTIONS: Below is the final report to be completed to be eligible to receive the $750 Governor’s Citation Mental Health Grant for the 2025-26 Rotary year. The report must be submitted within 60 days of the project completion but no later than May 31, 2026. Firm deadline.

Before proceeding, please verify that your final report adheres to the requirements below PRIOR to submitting your final report. If you are uncertain if your project qualifies for grant reimbursement, email rotary5130grants@gmail.com. Once submitted, please download the pdf of your report in case additional information or changes are needed.

Required Parameters for the 2025-26 Governor’s Citation Grant:

1. Must fall within the realm of Mental Health. See NorCalMentalHealth.Org – Mental Awareness for ideas on potential topics or organizations with which you can partner.
2. Must include Rotarian involvement.
3. May NOT be used to fund a separate club fundraising event or any club related celebration activity.
4. Due to the sensitive/private nature of Mental Health, you may choose to write a check to another approved entity or organization, but please incorporate this organization’s work into your Public Image activities, invite them to be a speaker at your meeting during the year, etc.
5. If the project is in partnership with another club, both clubs need to complete this final report and reimbursements will be done up to $750 for expenses for EACH club.
6. See examples of suggested Mental Health Projects or Partners here: (link to Word Document from Kristine)

You must provide photos of your project as well as receipts for the funds you spent. Approved projects will be reimbursed up to $750 per club.

Project Report - Due NO LATER THAN MAY 31, 2026

Club Name * Is this a project done in partnership with another club(s) * Select an option:YesNo If yes, which club(s) Project Name * Please briefly describe your project. (2000 characters max) * How did Rotarians actively participate in this project? (2000 character limit) * Please detail your expenses paid for the projects (Supporting documentation required below) * Project Invoices/Club Checks - REQUIRED FOR REIMBURSEMENT *

 

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Additional Invoices

 

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Additional invoices

 

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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.

Preferred Method of Payment *

Check ACH (you will be contacted to establish or confirm secured bank account information)

Check payable to your Club or Club's Foundation - Be Specific * Mailing address for reimbursement check *

INSTRUCTIONS FOR APPLICATION SUBMISSION: (PLEASE READ CAREFULLY)

1. Make sure all required fields above are complete.
2. Complete the fields below for President Name/Email
3. Electronically Sign and Date
4. Click Continue
5. Review your information.
6. If information needs to be changed, click Modify button and make changes and click Continue
7. If the information is correct, click Confirm to submit.

Club President Name (ONLY PERSON TO SUBMIT) * Club President Email Address * Signature *

Date: Friday, 26 September 2025 (EDT)

Name:

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Date *

INSTRUCTIONS:
Before proceeding, please verify that your final report adheres to the requirements PRIOR to submitting your final report. If you are uncertain if your project qualifies for grant reimbursement, email rotary5130grants@gmail.com. Once submitted, please download the pdf of your report in case additional information or changes are needed.

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