Name: (Required)

Club Position: (Required)

Email: (Required)

Select Team Color: (Required)
--- Choose one ---Red TeamWhite TeamBlue TeamGreen TeamYellow TeamPink TeamPurple TeamOrange Team

[group red_RC]
Select Rotary Club: (Required)
--- Choose one ---Aseana ManilaDowntown ManilaHiyas ng MaynilaJose Abad SantosMabini ManilaManilaManila BayManila EastManila KalawManila Maharlika(text sent)Manila Maynilad SeafrontManila Quiapo CentralManila Santa Cruz CentralManila Supreme 198Metro EscoltaMultinational ManilaPaco ManilaPanday PiraQuiapo Plaza MirandaSanta MesaUniversity District Manila
[/group]
[group white_RC]
Select Rotary Club: (Required)
--- Choose one ---Bagumbayan-ManilaChinatown CircleChinatown ManilaIntramuros ManilaLiwasang BonifacioManila 101Manila CosmopolitanManila Espiritu Santo TayumanManila Harbor View MarinaManila Jose P. RizalManila MaagapManila MetroManila MidtownManila Pugad LawinManila Remedios CircleManila San MiguelManila SouthManila TaftManuel A. Roxas Blvd ManilaPadre BurgosTondo Manila
[/group]
[group blue_RC]
Select Rotary Club: (Required)
--- Choose one ---Baywalk ManilaErmitaEspañaMalate PrimeManila Binondo PrimeManila CentennialManila - Claro M. RectoManila Fort SantiagoManila JPL MalacañangManila MagicManila MendiolaManila PremierManila RobinsonManila Sta AnaManila United NationsQuirino Manila CentralRaha Sulayman ManilaRamon MagsaysaySampalocSan MarcelinoUptown ManilaMalate Ermita
[/group]
[group green_RC]
Select Rotary Club: (Required)
--- Choose one ---Dewey Boulevard-PasayPasay City Coral WayPasay FriedensPasay Hernandez AvenuePasay IllustradoPasay MarinaPasay MilleniumPasay Metro SunrisePasay MOAPasay SilanganPasay Southeast
[/group]
[group yellow_RC]
Select Rotary Club: (Required)
--- Choose one ---E-Club PasayPasayPasay Business DistrictPasay CentroPasay Cyber CityPasay EDSAPasay HarrisonPasay MaharlikaPasay MIAPasay SinagtalaPasay West
[/group]
[group pink_RC]
Select Rotary Club: (Required)
--- Choose one ---BacoorCarmonaCavite AguinaldoCavite EastDasmariñasHiyas ng BacoorImus EastImus IndependenciaMetro DasmariñasRosarioTagaytay Midland
[/group]
[group purple_RC]
Select Rotary Club: (Required)
--- Choose one ---Bacoor City SunriseCaviteCavite City SangleyCavite Export Processing ZoneCavite MetroImusKawit KalayaanMagdiwangMetro SilangSilangTrece Martires
[/group]
[group orange_RC]
Select Rotary Club: (Required)
--- Choose one ---Lubang IslandMamburao CentralSablayan MetroSan JoseSan Jose DowntownSan Jose Tamaraw
[/group]

Select Project Category: (Required)
--- Choose one ---Club AdministrationCommunity ServiceVocational ServiceYouth ServiceInternational ServicePublic Image

[group club_admin]
Select Project Sub-Type:
Club MeetingClub FellowshipGuest SpeakerRotary InformationOther Club Activities
[/group]
[group comm_service]
Select Project Sub-Type:
Peace & Conflict ResolutionDisease Prevention & TreatmentWater and SanitationMaternal & Child HealthBasic Education & LiteracyEconomic & Community Development
[/group]
[group voc_service]
Select Project Sub-Type:
Four Way Test MarkerRecognition ProgramsProfessional Networking EventVocational TrainingJob FairVocational TalkLivelihood Project
[/group]
[group youth_service]
Select Project Sub-Type:
Early ActInteractRotaractRYLAYouth ExchangeInduct Former Rotaractor as Rotarian
[/group]
[group intl_service]
Select Project Sub-Type:
Twin Club ProgramYouth ExchangeWorld Community ServiceFriendship ExchangeRegister at Least (1) Member to RI Convention
[/group]

[group pub_img]
Select Project Sub-Type:
Tri-MediaHumanity In MotionClub BulletinOthers
[/group]

Project Title: (Required)
Project Date: (Required)
Project Venue:
Project Description:
Total Number of Club Members Attended: (Required)
Total Number of Spouses/Families Attended:
Select Club Project Role: (Required)--- Choose one ---Solo Club ProjectJoint Project-Lead ClubJoint Project-Major Co-HostJoint Project-Minor Co-HostJoint Project- Not Otherwise Specified
Total Cost of Project: Php

[group comm_service]
[group comm_service_joint_project]
Total Cost of Club Participation: Php
[/group]
In-Kind Donation Summary:
Total Funding Summary: TOTAL CASH RECEIPT/S
Total Funding Summary: TOTAL ESTIMATED VALUE IN KIND DONATION/S
Total Number of Beneficiaries:
[/group]
List of Partner/s in Service