Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Rotary Club of Knoxville Local Community Service – Project Proposal Form Name and Description of the project: ___________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Which Rotary Area of Focus does this project address? ⃝ ⃝ ⃝ ⃝ Basic Education and Literacy Peace and Conflict Resolution Cooperative Organization Name: Organization Address: Contact person: Phone: Maternal and Child Health Water and Sanitation ⃝ ⃝ Disease Prevention and Treatment Economic and Community Development ______________________________________________________________________ Street __________________________________________________________________ City, State Zip __________________________________________________________________ Country __________________________________________________________________ ________________________________ ______________________________________ Title: _____________________________________ Email: _____________________________________ FINANCIAL (GRANT) COMPONENT: What is the duration of this project? (ie: one-time, _# of years, ongoing): ___________________________ What is the initial cost of this project? (Insert total cost of a one-time project): $__________________________ What is the total cost of this project? (If one-time, it should be same as above, if multiple years, it should be the annual cost x number of years): $____________________ (If initial year costs are different from subsequent years, please detail here): _______________________________________________________________________________________________ What is the financial commitment/contribution from the cooperative organization?: VOLUNTEER COMPONENT: Is there a volunteer component to this project? If so, please explain in detail: ⃝ By RCK $__________________________ ⃝ By Cooperating Organization _________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Please include information about how many people will be touched by this project, its impacts, outcomes and community benefits and/or anything that will help us understand why this project is more compelling than the many we have to choose from: _______________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Name and email of person submitting this form: RCK member who is willing to champion this project: ___________________________________________________________ ____________________________________________________ (“Champion” means the person who voluntarily takes extraordinary interest in the adoption, implementation, and success of this project, but not necessarily to chair the Local Community Service Committee)