Grant Application

Applicant First Name: (required)

Applicant Last Name: (required)

Cell Phone: (required)

Your Email: (required)

Organization Name: (required)

Organization Address: (required)

Organization City: (required)

Organization State: (required)

Organization Zip: (required)

Organization Phone: (required)

Organization Email: (required)

Are you a recognized 501(c)(3)? (required)
YesNo

If so, please provide EIN:

Age of Organization: (required)

Number of Members: (non-profit only)

Number of Employees: (required)

Dollar amount you are applying for? (Numbers only no symbols) (required)

How will the funds be utilized? (Describe how you would use funds if a grant is obtained (required)

How will your organization impact the redevelopment of Paradise (required)

Do you have written estimates for what you want to do? (If Yes, Please upload) (required)
YesNo

Does the proposed use of the funds involve construction? (required)
YesNo

Do you have building plans? (If Yes, please upload) (required)
YesNo

Have the Plans Been Approved? (required)
YesNo

Do you have a Business Plan for the intended use of the funds? (If Yes, Please upload) (required)
YesNo

Describe how was your organization impacted by the fire? (required)

To what degree, if any is your Organization insured for your losses? (required)

What is the status of any insurance settlement/payments? (required)

Have you received other grants? (required)
YesNo

If so, describe? (required)

List Amounts Received from other Grantors (required)

Describe any other grant applications you have pending (required)

If approved, would you be willing to do a presentation to the Rotary Club of Paradise as to the use of the awarded funds and the progress towards achieving your goals in applying for the grant?(required)
YesNo

By submitting this application you represent that the information provided is, to the best of your knowledge, true and accurate.