Complete this form and be sure to hit the "Submit" button. The address information requested is for the individual who would be receiving the funding check. The "amount pledged from other sources" refers to other organizations you have solicited for funding. In the "State the Need" section please explain the purpose of the funding, what you hope to accomplish, what you have accomplished in the past, etc. If you need more room to explain the "needs" portion of the form you may send a copy of the supplemental document  directly to truckeerotary@gmail.com.  

Once you finish read the "Thank You" page. It provides answers to the common questions.
If you experience problems with this website contact our webmaster at truckeerotary@gmail.com.

Have you applied to us for funding before *