Rotary District 5150 District Grant Application for Rotary Year 2026-2027

Thank you for the good work your Club is about to initiate by applying for the use of District Designated Funds (DDF) to implement a District Grant Project! Applications for District Grants must be received by June 1, 2026. If you have questions about this application, please contact District Grants Coordinator Joan Rosas at districtgrants5150@gmail.com or 650-678-6287.

YOUR CLUB NAME If Multi-Club Project, list names of supporting Clubs. Describe active participation by Rotarians (non-financial). Provide at least two (2) examples of active participation. PROJECT NAME Briefly describe the project and what the project will do. Start Date

Estimated Completion Date

District Grants require active involvement of Rotarians to:
Assess community needs
Develop a project plan
Establish a committee of 2+ Rotarians to oversee expenditure of funds and implementation of the project
Promote the project in local media
Submit required reports on time

Number of Rotarians that will participate in this project? Number of non-Rotarians that will benefit from this project? Who is the relevant community and how will the project improve their lives? What are the expected long-term community impacts?

Will the project address any of Rotary International's Seven Areas of Focus (recommended, but not required)? If Yes, which Area(s)? No Promoting Peace Fighting Disease Providing Clean Water, Sanitation, and Hygiene Saving Mothers and Children Supporting Education Growing Local Economies Protecting the Environment

How will the project meet the goals of that Area(s) of Focus? Describe what outreach and publicity methods you will use to ensure that the general public will know that this is a Rotary-sponsored project. Provide examples.

Is a cooperating organization involved? Yes No

If yes, what is the name of the organization(s) and what role does it play in the project? (Enter N/A if there is no cooperating organization)

BUDGET

The itemized Project Budget must specify:

PROJECT INCOME
Type and amount of income sources:

District Designated Funds (DDF)
Club funds
Other funds

PROJECT EXPENDITURES
Detailed breakdown that may include elements such as:

Costs of equipment
Furniture items
Gasoline
Meals
Lodging
Training
Number of dictionaries
Etc.

Supporting documentation may be requested.
Receipts should be retained and must be submitted with the Project Final Report upon completion of the project.

Income

Enter the amount of Club's District Designated Funds (DDF) to be applied towards the proposed project. Club Funds Other Funds - please specify source Total Project Income (Please verify that the total equals the sum of the Project Income sources listed above.)

Expenditures

Expected Project Expenditures - provide specific costs Total Project Expenditures (Please verify that the total equals the sum of the Project Expenditures listed above.)

If your Club does not receive the entire amount of DDF requested, can your Club fund the shortfall from its own funds? Yes No

If No, can the project be downsized to meet the amount of the District Grant and Club contributions to the project? Yes No N/A

Club Primary Project Contact Name Club Primary Project Contact's Rotary Position Club Primary Project Contact's E-mail Address Club Primary Project Contact's Phone Number Club Secondary Project Contact Name Club Secondary Project Contact's Rotary Position Club Secondary Project Contact's E-mail Address Club Secondary Project Contact's Phone Number

Required Authorization

As President of this Rotary Club for 2026-2027, I affirm that the Club/Board has voted to undertake this project as an activity of the Club.

2026-2027 President's Name 2026-27 Club President's Signature (May be signed by authorized Club member with President's consent)

Date: Wednesday, 3 June 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:

2027-2028 President's Name (2026-2027 President-Elect) 2027-28 Club President's Signature (May be signed by authorized Club member with President's consent)

Date: Wednesday, 3 June 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:

Alternative's Name (if 2027-2028 President is unknown)

Alternative's Rotary Position Club International Service Chair Club Community Service Chair Club Foundation Chair

Alternative's Signature (May be signed by authorized Club member with Alternative's consent)

Date: Wednesday, 3 June 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:

Instructions for Submittal of this Application (PLEASE READ CAREFULLY)

1) Only hit the "SAVE" button below if you have not yet completed your Application and would like to return to the form later to complete it. Otherwise, do not SAVE the Application (you will have the opportunity to save and print the Application once it has been accepted by the District).

2) If you have completed your Application, hit the "SUBMIT FOR REVIEW" button below.

Please note that submittal of this Application is a two-step process:
Step 1): Initial Submittal: Submit for review. You will receive a response message indicating that the Application is either Acceptable or Needs Correction. If the Application Needs Correction, please make the requested corrections before proceeding to Step 2.

Step 2): Final Submittal: Submit the Application a second time to formally transmit it to the District. You will receive an acknowledgment that the Application has been accepted by the District.