Grant Application Form | Wings of Freedom Fish Fry

Grant Application Form (DO NOT USE)

Wings of Freedom Fish Grant Application

Please review the information needed to apply for a Wings of Freedom Fish Grant and complete the application below. Applications must be submitted online by August 1st, 2020 for consideration.

Completed application (no partially completed applications will be accepted)
Current list of agency’s Board of Directors
Letter of IRS determination of Tax-Exempt Status 501(c)(3)
Agency’s latest audit and management letter of year-end balance sheet and statement of activity, if agency is not audited
Most recent balance sheet, statement of activity and budget to actual
List of partner organizations
Certificate of insurance indicating general liability coverage of all volunteers, if applicable

We invite your application and look forward to working with you. If you need more information, have questions or would like to obtain a Word form of this document, please visit our web site at www.rotaryofsmyrna.org

Submit Your Application

Wings of Freedom Fish Grant Application

Organization Name:

Contact Person:

Telephone:

Email:

Street Address (or P.O. Box)

City, State, Zip:

Work Phone:

Mobile Phone:

Website Address:

Message:

Have you previously received funds from the Rotary Club of Smyrna?

Yes

If yes, please list and include disclosure of those expenditures:

Enter your free text here

Is your organization / agency exempt from payment of income tax?

Yes

If yes, a copy of form 501(c)(3) from Internal Revenue Service AND either a Form 990 or a Financial Statement must be attached.

Upload File

Primary funding agency of applicant. List source(s) from which you already receive revenue.

Enter your free text here

Is your organization/agency currently located in the Middle TN area?

Yes

When will these funds be needed?

What is the timeline for this project?

Please briefly summarize your past and present affiliation, if any, with the Rotary Club of Smyrna, including the names of any member of your organization/agency who is also affiliated or a member.

Enter your free text here

Why is your request needed?

Enter your free text here

Estimated total amount needed for project:

Total from other funding sources:

Total requested from Smyrna Rotary Club:

How will you publicize Rotary Club of Smyrna involvement with your project and grant funding?

Enter your free text here

Organization Logo*

Upload File

Opt-In

By checking this box, I understand that the information contained in this statement is for the purpose of obtaining funding from the Rotary Club of Smyrna on behalf of the undersigned. Each undersigned understands that the information provided herein is used in deciding to grant funding, and each undersigned represents and warrants that the information provided is true and complete and the Rotary Club of Smyrna may consider this statement as continuing to be true and correct until a written notice of change is provided. Rotary Club of Smyrna is authorized to make all inquiries they deem necessary to verify the accuracy of the statements made herein.

*To ensure accurate representation of your organization on our website and other materials, please submit your logo using the form, or email it to us here.

Wings of Freedom Fish Fry is presented by the Rotary Club of Smyrna.