The Mission
of Kiwanis: 
As a thriving organization of men, women, and youth, we are dedicated to servicing the
children of the world
and improving the
quality of life worldwide.

Complete this application and return it to the address above. 
The Youth Services Committee and the Young Children
Priority One

Committee reviews funding requests on the second Monday of each month (October through May) and makes recommendations to the Kiwanis Board of Directors the following day.  Applicant will receive a letter informing them of our decision later that week.

Kiwanis Funds primarily support programs that benefit children.

Kiwanis Club
of Friendly Duluth
407 W. Superior Street
Duluth, MN 55802

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FUNDING REQUEST APPLICATION


Name (Agency or Individual)

Address
City / State / Zip

Phone / Cell

e-mail address

Contact Person (If different from above)

Amount of money requested
Funds required by (Date)

Are you a non profit (501-C3)?
Yes No
If not who is (will be) your fiscal agent


How did you hear about Kiwnais Funding?

Have you received Kiwanis funding in the past?

 Yes - How much?

No

Number of children expected to benefit this project

Area served by project?

PLEASE SUBMIT INFORMATION TO SUPPORT THE FOLLOWING
Please include a listing of your Board of Directors Names.

Describe the community project, activity or program these funds would support.

Goals & Objectives of project.

How will you evaluate the success of your project?

Budget.  (How will the Kiwanis dollars be spent)? 
Please list other sources of support for your project 

How will Kiwanis be recognized for supporting your project?

Would you be willing to provide to our Kiwanis club in the future?

If you received Kiwanis money in the past, please tell us how this money
was used and how many children benefited form our donation,

» By submitting this application, I acknowledge that I attest the above information is true and correct.   I hereby release the information listed above to the Duluth Kiwanis Club for use in selecting a recipient for the Kiwanis Club of Friendly Duluth Funding Request      

 Date
  ©2008 All Rights Reserved Kiwanis Club of Friendly Duluth