Request for Funding

Project name

Amount of funds already raised/ available as start-up initiative

Amount of funds requested from LCSF

Total amount of funds required for the project

Number of people directly benefiting from this project

Project objectives & goals

Project's plan and how objectives will be reached

Project Budget

Project timetable

Date of completion
Date Month Year

Name of Lions Club/Clubs supporting this project

Submission By

Contact Number

Mailing Address

Payee for Grant Cheque

Do you wish to claim tax deduction?
Yes   No

Reasons for Foundation to Approve: