Prior Lake Rotary Club

POST OFFICE BOX 271 • PRIOR LAKE, MINNESOTA 55372

Rotary Club of Prior Lake - District 5960 - Club 2163

Chartered October 15, 1978

Prior Lake Rotary - where Rotarians build goodwill and peace, provide humanitarian services, and encourage high ethical standards in all vocations.The main objective of Rotary is service -- in the community, in the workplace, and throughout the world.

Our Mission Statement

The mission of the Prior Lake Rotary Club is to enhance the quality of life for the residents of the Prior Lake area and people throughout the world.

Guidelines for Funding Requests to the

Community Service Committee of the Prior Lake Rotary Club

The Prior Lake Rotary Club has established a Community Service Committee to review funding requests from community-based charitable organizations. Please review the general requirements and exclusions before completing the Funding Request Application.

General Requirements:

Established, non-profit organization - preferably 501(c)(3) status

Ongoing programs or projects with a specific purpose

Programs or projects receiving other private funding

Projects that serve the residents of the City of Prior Lake, its surrounding townships,

Scott County and Minnesota

Projects that have a lasting impact

Projects that improve academics, community and environmental health,

or provide assistance to disadvantaged groups

Exclusions from funding:

For-profit groups or organizations

Individuals

Religious organizations or activities

Political organizations or activities

Ticket purchases

Projects outside our service area

The information below must accompany your funding request. Upon completion, send to: Prior Lake Rotary Club, Attention: Community Service Chairperson, PO Box 271, Prior Lake, MN 55372.

Funding Request Application for Community Services

Date of request:

Date funding needed:

Specific amount requested:

Are you a 501 (c) (3) organization?

Name of Organization:

Address:

Phone and website address:

Name of contact person for this request:

Phone and email address:

Name of Rotarians affiliated with this organization:

Describe the mission of your organization:

How will these funds be used to meet the needs of the community?

How will these funds be used for a specific project with a lasting impact? What are the specific goals and objectives of the project?

Do you need “in-kind” products, services or assistance in lieu of funding? If yes, please describe what is needed.

Has this organization supported our club in any ways in the past? If so, please elaborate.

Is your organization willing to help our club with future events such as highway clean-up, Gateway park maintenance, Lakefront Music Fest help, etc? If so, please list the areas where your group would be willing to help out if needed. Check our website for additional ideas.

Will the Prior Lake Rotary Club receive any recognition from your organization if this funding request is approved? If yes, please describe.

Our Prior Lake Rotary Club meets on Wednesday mornings from 7:00am to 8:15am. Will your representative attend a Rotary meeting to accept any funding that is approved?

Submit a cover letter and a brochure describing your organization and enclose a copy of your 501 (c) (3) nonprofit determination letter and program budget of income and expenses. Please add any additional information that is pertinent to this request.

Thank you for your request. You will be contacted by the Community Service Chairperson from the Prior Lake Rotary Club with a funding determination after review by the Community Service Committee and review by the Prior Lake Rotary Board of Directors.

This process may take up to 90 days.

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Service Above Self