"*" indicates required fields Your InformationName of Organization* Contact Name* Contact Phone Number*Contact Email* Is your organization a 501(c)(3)(non-profit)* Yes No Organization Website **Your organization will be required to present at our Rotary Club of Brea**Answer questions in detail to help our Rotary consider your needPlease share information about your organization*Describe your need in detail below*What is the cost of your need?* What will your organization use the funds for?*Is there anything else you would like us to know about your organization that may influence the decision of the committee?*Signature of Applicant Title Date MM slash DD slash YYYY The organization must benefit individuals and/or families that work or reside in or near Brea. All applications will be reviewed by the Brea Rotary Community Services Committee. All recipients that receive grants will be required to present their organization as a guest speaker for the Brea Rotary Club. Presentation date will be determined. We at The Rotary Club of Brea thank you for your application and look forward to working with organizations that serve our community. 71072
