The Rotary Foundation (TRF) Major Matching Grants Application For grant requests of US$2,001 to US$150,000 Rotarians may use this form and attach additional pages as needed or may answer the questions below on blank paper, on the condition that the answers follow the same order as the application. Incomplete applications will be returned to the primary host partner with a brief explanation. See The Guide to Humanitarian Grants (144-EN) for instructions and eligibility and program requirements. Note: Applications for low-cost shelter and revolving loan projects and grant requests of US$25,001 or more have additional requirements. See The Guide to Humanitarian Grants (144-EN), www.rotary.org, or contact TRF staff for more information. 1. PROJECT DESCRIPTION 1. What is the purpose of this project? Provide a brief description. 2. How will it meet the needs of the community? 3. How will the host and international partners communicate and work together to implement this project? Please provide specific examples of activities. 2. COOPERATING ORGANIZATIONS If this project involves a cooperating organization: 1. Provide the name of the organization below. 2. Attach a letter of participation from that organization that specifically states its responsibilities, how it will interact with Rotarians in this project, and the organization s agreement to cooperate in any financial review of activities connected with the project. 3. Attach a letter of endorsement of the organization from the Rotarians in the project country. Name of organization Letter of participation from organization attached Letter from project country Rotarians attached 3. RELATIONSHIP TO OTHER RI OR TRF PROJECTS (OPTIONAL) Is this project related to, or has it resulted from, other Rotary International or TRF projects? If so, please identify those projects. Individual s Name and/or Individual s Name and/or Program Project Number Program Project Number WCS Projects Exchange Individual Grant Group Study Exchange Ambassadorial Scholarships 3-H Grant District Simplified Grant Matching Grant Other: Could this project benefit from an international volunteer? Yes No
4. PRIMARY HOST PARTNER IN THE PROJECT COUNTRY List the club or district in the project country that assumes joint responsibility for the project. CLUB CLUB ID NUMBER (IF KNOWN) DISTRICT COUNTRY Project Committee: A committee of at least two Rotarians must be established by the primary host partner to oversee the project for its duration, even if it continues into another Rotary year. Primary Contact (must be member of above club/district) Additional Contact Name MEMBER ID NUMBER (IF KNOWN) Name MEMBER ID NUMBER (IF KNOWN) Rotary club DISTRICT Rotary club DISTRICT Position/title Position/title E-mail E-mail Address STREET ADDRESS Address STREET ADDRESS CITY / STATE / POSTAL CODE CITY / STATE / POSTAL CODE COUNTRY COUNTRY Telephone HOME Telephone HOME OFFICE OFFICE Fax Fax 5. PRIMARY INTERNATIONAL PARTNER OUTSIDE THE PROJECT COUNTRY List the club or district outside the project country that will assume joint responsibility for the project. CLUB CLUB ID NUMBER (IF KNOWN) DISTRICT COUNTRY Project Committee: A committee of at least two Rotarians must be established by the primary international partner to oversee the project for its duration, even if it continues into another Rotary year. Primary Contact (must be member of above club/district) Additional Contact Name MEMBER ID NUMBER (IF KNOWN) Name MEMBER ID NUMBER (IF KNOWN) Rotary club DISTRICT Rotary club DISTRICT Position/title Position/title E-mail E-mail Address STREET ADDRESS Address STREET ADDRESS CITY / STATE / POSTAL CODE CITY / STATE / POSTAL CODE COUNTRY COUNTRY Telephone HOME Telephone HOME OFFICE OFFICE Fax Fax
6. PROJECT BUDGET Include a complete itemized budget for the entire project and indicate which currency is used. Please answer the questions provided about purchase of equipment, materials, or supplies. Use separate pages if necessary. Pro forma invoices, supplier price quotes, and/or other cost documentation may be required upon request. Item to be purchased Name of supplier Cost 7. PURCHASE OF EQUIPMENT Total (identify currency) Exchange rate used 1. Who will own equipment and maintain, operate, and secure items purchased with grant funds? (Equipment cannot be owned by a Rotary club or Rotarian.) 2. Is software necessary to operate any budget items? If so, has software been provided? 3. Will training in use and maintenance of technical equipment be provided? 4. If budget items will be shipped, have arrangements been made for customs clearance? 8. PROPOSED FINANCING If SHARE District Designated Funds (DDF) are part of the funding for this Major Matching Grant, either attach a letter(s) from the district Rotary Foundation committee (DRFC) chair(s) authorizing the use of those funds and specifying the amount or have the DRFC chair(s) authorize the use of the SHARE funds by signing below. Only the chair, on behalf of the DRFC, can authorize the use of SHARE DDF. Please list all financing and indicate cash or SHARE (DDF) amounts. Amount DRFC Chair Rotary Club/District Contributing Cash or DDF Authorization (identify currency) SUBTOTAL Amount requested from The Rotary Foundation Additional funding from other sources TOTAL (Must be equal to budget cost)
9. COMMUNITY NEEDS ASSESSMENT (FOR GRANT REQUESTS OF US$25,001 TO US$150,000) If your grant request is for US$25,001 or more, a community needs assessment must be included. This assessment should demonstrate how the proposed project Is viable and can be maintained by the benefiting community after grant funding has been fully expended Involves the benefiting community, including its ownership of the project Please refer to The Guide to Humanitarian Grants (144-EN) for additional information. Community needs assessment attached 10. PARTNERSHIP AUTHORIZATION All Rotary clubs or districts involved in this project are responsible to The Rotary Foundation (TRF) for the conduct of the project and reporting on it. The partners signatures confirm that they understand and accept responsibility for the project. Partners may either sign this page or submit a separate letter of commitment. By signing below, we are agreeing to the following: All information contained in this application is true and accurate, to the best of our knowledge. This application meets all Matching Grant criteria as stated in The Guide to Humanitarian Grants (144-EN). The club/district has agreed to undertake this project as an activity of the club/district. We will ensure all cash contributions (as detailed in item 8) will be forwarded to TRF after Trustee approval of a Matching Grant. We understand that if our club/district or our partner club/district has overdue progress or final reports for any previously awarded Matching Grants, this application will be returned to the host partner. Host Partner Club President (if club-sponsored) District Grants Subcommittee Chair (if district-sponsored) International Partner Club President (if club-sponsored) District Grants Subcommittee Chair (if district-sponsored) NAME NAME TITLE TITLE CLUB DISTRICT CLUB DISTRICT SIGNATURE DATE SIGNATURE DATE 11. DISTRICT GRANTS SUBCOMMITTEE CHAIR CERTIFICATION The Trustees strongly suggest that the district grants subcommittee chair from either the host or international district certify the application as complete. If the application is not complete or eligible, it will be returned to the host partner with a brief explanation. On behalf of the committee, I hereby certify that to the best of my knowledge and ability this grant application is complete and meets all TRF guidelines. DISTRICT GRANTS SUBCOMMITTEE CHAIR SIGNATURE DISTRICT 12. REPORTS Although both partners are ultimately responsible for completing progress and final reports, one partner should take primary responsibility for submitting the reports to TRF. By signing below, our club/district accepts primary reporting responsibility. SIGNATURE CLUB DISTRICT
13. COMPLETION CHECKLIST Before submitting your Major Matching Grants Application, please take a moment to review this checklist. If you have any questions or concerns, please contact TRF staff (see below). Are there written sponsorship confirmations from the club president(s)/district leadership who will be in office during the year of the funding request? Does the project meet all grant policies and guidelines (see The Guide to Humanitarian Grants [144-EN] or the RI Web site at www.rotary.org)? Does the project description clearly state how the project will assist those in need? Have both the host and the international partner created committees to oversee the project? Are these individuals correctly listed on the application? Have the responsibilities of the project country partner and international partner been outlined? Do they meet the requirements of a Matching Grant project? Are there written commitments (or signatures on section 10 of the application) from each primary project partner? If SHARE District Designated Funds (DDF) are used, the current district Rotary Foundation committee chair must provide a written confirmation authorizing use of DDF (or signature on section 8 of the application). Is a cooperating organization involved? If so, are there letters from 1) the organization, specifically stating its responsibilities, how it will work with Rotarians, and its agreement to cooperate with any financial review of the project; and 2) the primary host partner, indicating that it has knowledge of the organization and endorses the cooperative effort? Is your project to build low-cost shelters? If yes, is a Low-Cost Shelter Agreement attached together with the other required documentation? Does the project involve a revolving loan? If so, is appropriate documentation included? If your grant request is for US$25,001 or more, is a community needs assessment attached? Has the district grants subcommittee chair certified your application as complete (see section 11 of the application)? Have you made copies of all documents for your files prior to submitting them to TRF? Note: You will receive a file number when the application is received at RI Headquarters. This does not indicate that the grant has been approved. You will receive an announcement packet if the Trustees approve your completed application. The project cannot be started until the Matching Grant application has been approved by The Rotary Foundation Trustees. Send the completed application and all attachments to: Matching Grants The Rotary Foundation One Rotary Center 1560 Sherman Avenue Evanston, IL 60201-3698 USA Telephone: (847) 866-3000 Fax: (847) 328-8554 E-mail: grants@rotaryintl.org
Matching Grants The Rotary Foundation One Rotary Center 1560 Sherman Avenue Evanston, IL 60201-3698 USA 141-EN (1202)
CLUB ROTARIO DE LOJA MATCHING GRANTS APPLICATION CREATION OF TWO VILLAGE BANKS IN THE SECTORS CHINGUILANCHE AND CAPULÍ ANNEX 1 Contains: Objective of the Project Functioning of the Program Justification Beneficiaries Goals that the project will have to reach Project Budget Estimated start and completion date of the project Activities to show that the project is a Rotary Project Guayaquil, July 20-2004
CLUB ROTARIO DE LOJA MATCHING GRANTS APPLICATION CREATION OF TWO VILLAGE BANKS IN THE SECTORS CHINGUILANCHE AND CAPULÍ 1. OBJECTIVE The objective of this project is to end severe poverty for 80 impoverished mothers and their respective children through a program of development of subsistence microbusiness that will comprise the next: 1) Creation y organization of two village banks: these banks will be created in the communities Chinguilanche and Capuli ; these communities are located in the province of Loja, (in Ecuador). Each bank will be form with 40 persons (only women). 2) Implementation of a plan of 80 little loans: each new village bank will provide 40 little loans to the beneficiaries. The beneficiaries will use these loans to develop little economic activities (micro-business) that will improve the incomes and the level of life of their families. 3) Implementation of a Saving Plan: the purpose of this plan is to permit that the beneficiary has a quantity of money that she can use to expand her business, or in case of disaster or emergencies. 4) Training Program of the beneficiaries; the Community Banks Program will include a conferences program about various topics that include Business Administration, Marketing and Sales, Self-esteem, Diseases Prevention and others. These conferences program seeks to increase the knowledge level of the beneficiaries of the village banks and to inject a community action of work and solidarity. The program of development of subsistence micro-business will last three years. After this period, the beneficiaries will be prepared to use mechanisms of the Commercial Bank and other institutions like Cooperativas de Ahorro y Crédito. In this way, new beneficiaries will give the opportunity to be admitted to the loan program. 2. FUNCTIONING OF THE PROGRAM The program of development of subsistence micro-business comprises the creation of two village banks of 40 persons each one. The beneficiaries of this program will be only women, we decided this because we consider that, in Ecuador, women are a component of our society that is discriminated (for this reason we say that our society is "machista").
CLUB ROTARIO DE LOJA We have chosen to the non - Rotarian institution "En las Huellas del Banco Grameen" how the institution that will be take charge of the administration of the new village banks. Loja Rotary Club will supervise that the project reaches the proposed objectives and goals. In this moment the institution En las Huellas del Banco Grameen administrates 17 village banks; Rotary Club of Loja knows the good reputation of this institution and for this reason we recommend it to administrate this new project. Each bank will be formed with a capital of US$ 10,000.oo; the individual loan will be established between US$ 80 and US$ 300 (the level depends of the economic activity, the saving, the evolution of the economic activity trends- and the performance of the credit obligations). Each bank will provide 40 loans with duration of one year, the loans will be canceled weekly in equal payments that include a little percent that will permit to cover administrative costs. The rate of interest will be similar to the "activa referencial" that the Central Bank publics weekly (in this moment is 12% annual). This rate is too much lower than the informal rates (we called "tasas de churco" and they are between 10% and 12% monthly). The loans of the program that we propose don't required guarantees. After the four months and when all the loans have been canceled, the bank will give 40 new loans and the cycle continues until the fifth year. The activities that these loans will finance, will be economic activities of subsistence and some of them are the next: Principal financed activities * Pequeños huertos Cría de pollos Cría de Chanchos Tienda Bazar Venta de mercadería Venta de fruta Comerciante Venta de confites Venta de frituras Venta de cervezas Venta de gaseosas Modista Venta de mote * We put the names in Spanish because some words we can't translate in English in a better way. In the next pages you can see some photos of some economic activities developed by the beneficiaries of village banks that functioning in Loja province now.
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CLUB ROTARIO DE LOJA 3. JUSTIFICATION According to a recent study developed by the PMA (Programa de Alimentos de las Naciones Unidas), "about the 50% of the Ecuadorian population don't receive an appropriate alimentation; in the 230 parishes catalogued how the poorest in Ecuador, the indigence exceed the 90%". "Anemia affects the 40% of the pregnant women, the 72 % of children lesser than a year, and the 38% of children between 1 and 5 years". "The 50 % of children lesser than 2 years have delay in the growth and their alimentation is insufficient in energy and iron". A Director of PMA in Ecuador said the next comments: "Esto significa que Ecuador va a heredar o está sufriendo las consecuencias de una población que no ha sido suficiente y adecuadamente alimentada en la infancia". Club Rotario de Loja is convinced that the best way to improve all those indices that we read in the last paragraph, is to give to the people the tools to improve their level of life (of them and their families) and the revolving loan programs (knowed How village banks) do this providing financing to establish little business. 4. BENEFICIARIES This project will benefit to 80 families of few economic resources; four persons compose the average family, for this reason this project will benefit to 320 persons. These persons live in the communities called Chinguilanche and Capuli ; these communities are located in the province of Loja. 5. GOALS THAT THE PROJECT WILL HAVE TO REACH The project will improve the incomes of 80 families. The project will generate 80 subsistence micro-business. The project will generate a saving of US$ 4,000 at the end of the third year of the project. The project will train to 80 persons through a program of conferences, courses and "talleres" of micro-business.
CLUB ROTARIO DE LOJA 6. PROJECT BUDGET The total cost of the project is US$ 20,000.oo; all fund provided to this project will be used for loan capital only. 7. ESTIMATED START AND COMPLETION DATES OF THE PROJECT The project will begin on November 15/ 2004 and will conclude on November 17/ 2007. The end of the first cycle of these community banks will be on March 15/ 2005, this date has to be considered for the Rotary Foundation how the close date of the project. 8. ACTIVITIES TO SHOW THAT THE PROJECT IS A ROTARY PROJECT The project will be promoted in the means of local diffusion indicating that was conceived and planned by Rotarians, furthermore it will be undertaken, implemented, administered and supervised by Rotarians. The project will be promoted in the same way in the meetings with Rotarians. In some of the materials of support for the conferences (for example the papers that contain the summary of a conference), will be included, in the more visible site, the emblem of Rotary in combination with the names of the clubs that will sponsor the project as well as their respective emblems. The names of the sponsor clubs and their emblems will appear directly together to the emblem of Rotary and will have the same measures and equal prominence that this emblem.
DETAIL OF PROPOSED FINANCING Rotary Club / District Amount Contributing (Identify currency) Carlsbad Hi-Noon USD $2,000.00 Escondido Sunrise USD $2,500.00 Rancho Bernardo USD $2,000.00 Club Rotario de Loja USD $2,000.00 Brawley Rotary Club USD $1,000.00 Lemon Grove Rotary Club USD $500.00 District 5340 DDF USD $2,500.00 SUBTOTAL USD $12,500.00 Amount requested from The Rotary Foundation USD $7,500.00 Additional funding from other sources N O N E TOTAL USD $20,000.00
ROTARY CLUB Of Brawley The Most Low Down Club on Earth 119 Feet Below Sea Level P.O. Box 1442 Brawley, California September 10, 2004 Ref: Village bank, Loja, Ecuador To: Matching Grant Coordinator, The Rotary Foundation Dear Sir or Madam, We confirm that the Rotary Club of Brawley, California, is supporting the project with the Rotary Club of Carlsbad Hi-Noon, California, and the Rotary Club of Loja, Ecuador, to provide funds for a village bank in Loja, Ecuador. The Rotary Club of Brawley, California, is ready to provide $1,000.00 USD toward this project. Sincerely yours, Dean Currie Club President 2004-05