COMMUNITY ORGANIZATION ASSISTANCE PROGRAM

Re:      COMMUNITY ORGANIZATION ASSISTANCE PROGRAM     July 30th, 2012

            Nashua Rotary West

            The Rotary Club of Nashua West provides financial assistance to local 501(c) 3 community organizations in the greater Nashua area to aid them in providing the necessary services and programs that meet our community’s needs.  We provide assistance for many reasons:  a specific project or program, purchase of equipment or supplies, or to assist in repairs and maintenance of facilities.

            As you have applied for Rotary West funds in the past, an application for funding is attached.  Please mail completed applications to:

Helen Honorow, Esquire

BARRY & HONOROW, P.L.L.C.

161 Kinsley Street

Nashua, NH 03060

            The deadline for applications for funds is August 30, 2012.  All completed applications must include 18 copies of the application and 18 copies of any attachments or brochures.  Applications may not be sent forward via e-mail.  You must submit 18 hard copies of your application and any attachments you wish to provide.  It is anticipated that the funds will be awarded in November.

            Thank you for your efforts for our community.  Please reply to this e-mail so that we are aware that you received it.

                                                                        Helen G. Honorow

                                                                        Community Projects Chair

Attachment

REQUEST FOR FUNDS APPLICATION

Deadline is August 30, 2012

INSTRUCTIONS

Please complete this form with sufficient detail to enable the Community Projects Committee to properly evaluate your request.  If a particular section does not apply, please do not leave it blank, but indicate N/A.  You may attach other relevant materials that you would like the Committee to consider, or submit a formal proposal to include the following information.  You must submit eighteen (18) hard copies of your application, as well as eighteen (18) hard copies of any attachments.

1.   Name of Organization applying:

2.   Address:

3.   Contact person for this request, telephone number, and e-mail address:

4.   Title of Program/Project for which funds are requested:

5.   Briefly describe the Program/Project for which the funds are requested.  Please describe in some detail how the requested funds will be utilized and the number of people who will be served with the requested funds.  Please be sure that your description helps us to understand how your program is unique, or different, and does not duplicate the services of another agency.  Please include the number of years for which the program has been in existence.

6.   Amount requested:

7.   Please identify any other organizations from which you have solicited the same request for funds and the amount you have received, or expect to receive (if any) to such solicitations:

8.   Does your organization charge a fee to persons participating in your program?  If so, please describe the fee structure.  Also, please indicate whether scholarships, sliding scale fees, and/or free services are offered to program participants and the basis upon which reduced fees are offered:

9.        Does your organization receive state, federal, city, or United Way funding for the Program/Project?

10.  Please indicate the approximate number of Nashua and Nashua area residents that this program serves or will serve.

11.  Please provide an income (identifying sources of income) and expense statement for your most recent fiscal year and attach it to this application.  You may submit an operating budget.