RAGES - New Project Submittal - Lake Chelan Rotary

Date*

Name of Person Submitting this Request*

Prefix First Last

Are you a Rotarian*

Rotary Club Name*

Rotary District*

Name of Project*

Project Description*

Please provide a description of the project including mission, goals, objectives, key initiatives, evaluation process:

Project Website

Name of the Rotary Club Leading the Project:*

Rotary District Number*

Project Leaders Name*

Prefix First Last

Project Leaders Email Address*

Project Leaders*

Rotary Areas of Focus*

Project Status*

Project Start Date*

Anticipated Start Date*

What is the projected duration of the project?*

Is this Project a Global Grant Prospect*

Does your Club need help with any of the following?*

Additional Support for Global Grant Application*

Phone

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