Form Owner:
rotarydistrict5240.org
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2024-25 Rotary District 5240 Service Impact Reporting
For the 2024-25 Rotary Year
Club Name (Note Rotary, Rotaract or Interact)
District
Name of Rotarian completing this Report
Email of Rotarian completing this Report
Cell Phone of Rotarian completing this Report
Name of Project
Local or International Project
Local Project
International Project
Avenue of Service
n/a
Club Service
Community Service
International Service
Vocational Service
Youth Service
Area of Focus (if applicable)
n/a
Basic Education and Literacy
Community Economic Development
Disease Prevention and Treatment
Environment
Maternal and Child Health
Peacebuilding and Conflict Prevention
Water, Sanitation, and Hygiene
Was this a multi-club project?
Yes
No
Project Partner(s) (if applicable)
Project Date(s)
One sentence description of the project
Report the number of people who benefited directly from this Project. A single number is required as input. We understand the number may be an estimate.
# of Lives Impacted
When thinking of Lives Impacted, think about families, communities, etc. - the total number of people affected by this project. Don't forget to count Rotarians too!
How many people, including Rotary volunteers, worked on the project? One person who volunteers twice or more on the project should be counted as just one volunteer.
# of Volunteers
Please record the number of total hours from volunteers. Be sure to include hours spent planning and organizing the project.
(Ex.: 5 Volunteers, Project is 2 Hours, Total is 5 Volunteers x 2 Hours = 10 Hours)
# of Total Service Hours
Club $ Donated for This Project
Please list any funds donated by other sources, including the District, RI, or funds donated by club members if not included with the club funds above. Clubs with a foundation separate from the club should list funds donated by the foundation for the project here.
Other $ Donated for This Project
Describe the in-kind donation. Example: "winter coats" or "socks" or whatever may have been donated in-kind for the project.
In-kind Donations
Estimate the value of in-kind donations listed above.
$ Value of In-kind Donations
Did this project have media coverage? If so, provide links to coverage.
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