Use this form to request funding assistance from the Kiwanis Club of Sand Lake, NY, Inc. 
To use please print out form or download an Adobe PDF copy here, complete and return to the Sand Lake Kiwanis Club

The Objects of Kiwanis International

To give primacy to the human and spiritual, rather than to the material values of life.  
o encourage the daily living of the Golden Rule in all human relationships.
To promote the adoption and the application of higher social, business, and professional standards. 
To develop, by precept and example, a more intelligent, aggressive, and serviceable citizenship.
To provide, through Kiwanis clubs, a practical means to form enduring friendships, to render altruistic service, and to build better communities.
To cooperate in creating and maintaining that sound public opinion and high idealism which make possible the increase of righteousness, justice, patriotism, and goodwill.

  Each year the Kiwanis Club of Sand Lake, NY receives many requests from an assortment of individuals and groups for funding assistance for varied programs and projects.  As the club has limited funds, each request must be considered individually by the appropriate club committee(s) and/or the Board of Directors.  To aid the club in evaluating your request we ask that you take a few moments and provide the following information.  To ensure that your request receives the careful consideration that it deserves, the evaluation process may take up to 30 days, please submit your request in a timely manner.  Should you need more room to respond to any question or if you would like to provide the club with additional information please attach additional sheets to this form.  

Name of individual, group or organization making this request:                                                                                                                                                                            

Briefly describe the general purpose of this organization:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

General geographic area of operation for this group or organization:                                                                                                                                                                                                                                                                                                                                                      

Number of members of this organization:                                 

Number of members who will be directly involved in this project:                             

From whom and how does this group or organization normally receive its funding:                                                                                                                                                                                                                        

Briefly describe the specific project for which this request is being made:                                                                                                                                                                                                                                   

Briefly state why the Kiwanis Club of Sand Lake, based on one or more of the “Objects of Kiwanis”, should provide financial aid to this project:                                                                                                                                                              

Briefly state how this specific project will enrich life in our community:                                                                                                                                                                                                                                           

Who and how many will directly benefit from this project:                                                                                                                                                         

Specific use of the requested funds:                                                                                                                                                                                                                                                                                      

Total cost of the project:                                                                                                                                  

Amount being requested from the Kiwanis Club of Sand Lake:                                                                            

Other organizations, groups, businesses or individuals who are being asked for funding:                                                                                                                                                                                                         

Other means that are being used to raise the funds needed:                                                                                                                                                                                                                                                    

Date(s) of this project and when are the requested funds needed:                                                                     

Would you appear before the members of the Committee to whom this request is assigned to provide further information?
Yes                  No

Name of the group or organization’s contact person:                                                                                           
Telephone numbers: (Daytime)                                                        (Evenings/Nights)                                       

Check should be payable to:                                                                                                                                              Address:                                                                                                                                                         

Signature of requester or responsible officer:                                                                      Title:                             

Please return to: The Kiwanis Club of Sand Lake, NY, P.O. Box 535, West Sand Lake, NY 12196 or to any Sand Lake Kiwanian  
The Kiwanis Club of Sand Lake meets at 6:30 PM, Mondays at the Lakeview Inn on Crystal Lake,4 Old Route 66, Averill Park, NY 12018  
The Board of Directors normally meets on the first Monday of the month after the regular meeting of the Kiwanis Club.