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[]
[]
[null,null,null,null,null,null,null,"第2790地区の地区補助金（ＤＧ）"]
[null,null,null,null,null,null,null,"申請書"]
[null,null,null,null,null,null,null,"国際ロータリー2790地区"]
[null,null,null,null,null,null,null,"ロータリー奉仕プロジェクト委員会・財団委員会"]
[null,null,null,null,null,null,null,"2023-24年度地区補助金申請用"]
[]
[]
[null,null,"※　本ワークシートは、Excelで提出できない場合の手書き入力用申請書です。通常は使用しないで下さい。"]
[null,"クラブ・委員会名",null,"プルダウンからクラブ名を選択",null,null,null,"英語(自動)",null,null,{"$f":"VLOOKUP(D11,クラブ名!A3:C111,2,FALSE)","v":"自動入力"},null,null,null,"グループ(20-21)",null,null,{"$f":"VLOOKUP(D11,クラブ名!A3:C110,3,FALSE)","v":"自動"}]
[null,"（その他）の場合",null,"クラブ・委員会名に該当するものがない場合、記入します"]
[null,"プロジェクト名",null,"プロジェクト名を記入します"]
[null,"実施場所",null,"開催場所を記入します"]
[null,"実施期間（西暦）",null,null,null,null,null,null,null,"～"]
[null,"報告書提出予定日"]
[]
[null,"プロジェクトの内容"]
[null,"1.","このプロジェクトの概要を400文字程度でご記入下さい"]
[null,null,"プロジェクトの概要を400文字程度で記入をして下さい"]
[null,"2.","このプロジェクトの恩恵を受ける「主な受益者」を一つ選択してください。"]
[null,null,"---プルダウンから選択---"]
[null,"3.","このプロジェクトの恩恵を受ける人数をご記入ください。"]
[null,null,"入力して下さい","人"]
[null,"4.","このプロジェクトに何名のロータリアンが参加する予定ですか。"]
[null,null,"入力して下さい","人"]
[null,"5.","これらのロータリアンは何を行いますか。プロジェクトへの財政的支援を除き、ロータリアンが直接参加する事例を少なくとも２例記載してください。"]
[null,null,"入力して下さい、印刷時には高さを調節して下さい"]
[null,"6.","このプロジェクトを実施することにより、地域社会に対してどのような影響が期待されますか。"]
[null,null,"入力して下さい、印刷時には高さを調節して下さい"]
[null,"7.","協力団体が関与している場合、その団体名と役割を記述して下さい。"]
[null,null,"入力して下さい、印刷時には高さを調節して下さい"]
[null,"8.","プロジェクトの収支予算書"]
[null,null,"収入予算"]
[null,null,"収入項目",null,null,null,null,null,null,null,null,null,null,null,"金額"]
[null,null,"１．地区補助金申請額（上限60万円）",null,null,null,null,null,null,null,null,null,null,null,0,null,null,"円"]
[null,null,"２．クラブ拠出金額",null,null,null,null,null,null,null,null,null,null,null,0,null,null,"円"]
[null,null,"地区補助金申請額＋クラブ拠出金額",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(O36:Q37)","v":0},null,null,"円"]
[null,null,"クラブ供出割合（50%以上になるよう）",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(O37/O38,\" \")","v":" "}]
[null,null,"３．その他の資金",null,null,null,null,null,null,null,null,null,null,null,0,null,null,"円"]
[null,null,"支出合計",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(O38+O40)","v":0},null,null,"円"]
[]
[null,null,"支出予算（書ききれない場合は下の別表に記入して下さい、行を増やしたり減らしたりしないで下さい）"]
[null,null,"支出項目",null,null,null,"業者名",null,null,null,null,null,null,"金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"その他（最下段の別表に入力して下さい）",null,null,null,null,null,null,null,null,null,null,{"$f":"N167","v":0},null,null,null,"円"]
[null,null,"支出合計金額",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(L45:O52)","v":0},null,null,null,"円"]
[null,null,"事業総額（支出合計と一致すること）",null,null,null,null,null,null,null,null,null,null,{"$f":"O41","v":0},null,null,null,"円"]
[null,null,"収支予算書は、日本円で記入して下さい。実際に配分される金額は、財団から地区に振り込まれた月のロータリーレートによりますので、補助金の金額は多少前後する場合があります。"]
[null,"9.","本プロジェクトが該当する「カテゴリー」とそれに対応する「種類」を一つずつ選択してください。"]
[null,null,"「カテゴリー」",null,null,null,"→","「種類」"]
[null,null,"---プルダウンから選択---",null,null,null,null,"---プルダウンから選択---"]
[null,"10.","地区補助金長期計画書",null,"※上段は記入参考例"]
[null,null,"プロジェクト名","受益者","授与者",null,"協力団体",null,"1年目",null,"2年目",null,"3年目",null,"4年目",null,"5年目"]
[null,null,"○○教室\n△△スクール\n□□職業体験\n　　　　　　プロジェクト\n○△□フードバンク","千葉小学校","○○RC",null,"○△教育\nボランティア",null,"23-24年度"]
[null,null,null,"千葉東小学校",null,null,"□△教育\nボランティア",null,null,null,"24-25年度"]
[null,null,null,"千葉西小学校",null,null,"○○教育\nボランティア",null,null,null,null,null,"25-26年度"]
[null,null,null,"千葉南小学校",null,null,"○△教育\nボランティア",null,null,null,null,null,null,null,"26-27年度"]
[null,null,null,"千葉北小学校",null,null,"○○教育\nボランティア",null,null,null,null,null,null,null,null,null,"27-28年度"]
[]
[]
[]
[]
[]
[null,"11.","プロジェクト担当者"]
[null,null,"担当者氏名","担当者の氏名を入力して下さい",null,null,null,null,"クラブでの役職",null,null,"2022-23年度のクラブ役職を記入して下さい"]
[null,null,"自宅住所","自宅の住所を記入して下さい"]
[null,null,"電話番号","電話番号を記入して下さい",null,null,"FAX","FAX番号を記入して下さい",null,null,null,"携帯",null,"携帯電話番号を記入して下さい"]
[null,null,"E-mail","メールアドレスを記入して下さい、迅速に連絡の取れるアドレスを推奨します"]
[null,"12.","銀行振込口座(補助金受領のための専用口座が必要です)"]
[null,null,"銀行名","銀行名を入力して下さい",null,null,null,null,null,"支店名",null,null,"支店名を入力して下さい"]
[null,null,"預金種類","プルダウンから選択",null,null,null,null,null,"口座番号",null,null,"口座番号を入力して下さい"]
[null,null,"口座名","口座名を入力して下さい"]
[null,"13.","署名人の氏名（２名必要です）"]
[null,null,"署名人","「地区財務管理計画規定」の署名人",null,null,null,null,null,null,"「地区財務管理計画規定」の署名人"]
[null,"14.","クラブの参加資格"]
[null,null,"地区ロータリー財団委員会にMOUを提出した日"]
[null,null,"ロータリー財団補助金管理セミナーに出席した会員の氏名"]
[null,null,"最低１人入力して下さい"]
[null,"15.","クラブ会長及び会長エレクト、次々年度会長（または次年度幹事）の署名"]
[]
[null,null,null,null,"ロータリークラブ会長及び会長エレクト、次々年度会長（または次年度幹事）"]
[null,null,null,null,"として、上記の通りロータリー財団地区補助金の配分をうけたく、申請します。"]
[]
[null,null,null,"提出者",null,null,null,null,"承認者",null,null,null,null,"承認者"]
[null,null,null,"本年度クラブ会長",null,null,null,null,"次年度クラブ会長",null,null,null,null,"　　□次々年度会長　または\n　　□次年度幹事"]
[null,null,"年度","2022-23",null,null,null,null,"2023-24"]
[null,null,"氏名","名前を入力して下さい",null,null,null,null,"名前を入力して下さい",null,null,null,null,"名前を入力して下さい"]
[null,null,"直筆署名"]
[null,null,"日付","2023 年　　月　　日",null,null,null,null,"2023 年　　月　　日",null,null,null,null,"2023 年　　月　　日"]
[null,null,"適用","申請書提出時のクラブの代表権者",null,null,null,null,"事業実施年度の代表権者",null,null,null,null,"同左（事業が越年の場合）\n会長が未定の場合は次年度幹事"]
[null,null,"署名は紙提出のみ、直筆で記入して下さい、Excelは空欄で結構です"]
[]
[null,"本章の申請は紙だけではなく、Excelファイルをメールで提出します。\n書式は第2790地区ホームページからダウンロードしてください。"]
[]
[null,"提出先",null,"〒286-0846　千葉県成田市松崎264　　　株式会社平野電設　　　平野伸一宛"]
[]
[]
[null,null,"8.支出予算が書ききれない場合、「その他」に該当するものを下表に記入して下さい"]
[null,null,"支出項目",null,null,null,"業者名",null,null,null,null,null,null,"金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"「その他」の合計金額",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(L107:O166)","v":0},null,null,null,"円"]

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[]
[]
[null,null,null,null,null,null,null,"第2790地区の地区補助金（ＤＧ）"]
[null,null,null,null,null,null,null,"申請書"]
[null,null,null,null,null,null,null,"国際ロータリー2790地区"]
[null,null,null,null,null,null,null,"ロータリー奉仕プロジェクト委員会・財団委員会"]
[null,null,null,null,null,null,null,"2023-24年度地区補助金申請用"]
[]
[]
[null,null,"※　本ワークシートは、Excelで提出できない場合の手書き入力用申請書です。通常は使用しないで下さい。"]
[null,"クラブ・委員会名",null,null,null,null,null,"日本語",null,null,null,null,null,null,"グループ"]
[null,"（その他）の場合"]
[null,"プロジェクト名"]
[null,"実施場所"]
[null,"実施期間（西暦）",null,null,null,null,null,null,null,"～"]
[null,"報告書提出予定日"]
[]
[null,"プロジェクトの内容"]
[null,"1.","このプロジェクトの概要を400文字程度でご記入下さい"]
[]
[]
[null,"2.","このプロジェクトの恩恵を受ける「主な受益者」を一つ選択してください。"]
[null,null,"□子ども/青少年",null,null,"□高齢者",null,null,null,null,"□男性",null,null,null,"□退役軍人"]
[null,null,"□障がい者",null,null,"□農業従事者",null,null,null,null,"□孤児",null,null,null,"□野生生物/動物"]
[null,null,"□地区",null,null,"□一般市民",null,null,null,null,"□難民/避難民",null,null,null,"□女性"]
[null,null,"□経済的に恵まれていない人",null,null,"□ホームレスの人びと",null,null,null,null,"□学生"]
[]
[null,"3.","このプロジェクトの恩恵を受ける人数をご記入ください。"]
[null,null,null,"人"]
[]
[null,"4.","このプロジェクトに何名のロータリアンが参加する予定ですか。"]
[null,null,null,"人"]
[]
[null,"5.","これらのロータリアンは何を行いますか。プロジェクトへの財政的支援を除き、ロータリアンが直接参加する事例を少なくとも２例記載してください。"]
[]
[]
[null,"6.","このプロジェクトを実施することにより、地域社会に対するどのような影響が期待されますか。"]
[]
[]
[null,"7.","協力団体が関与している場合、その団体名と役割を記述して下さい。"]
[]
[]
[null,"8.","プロジェクトの収支予算書"]
[null,null,"収入予算"]
[null,null,"収入項目",null,null,null,null,null,null,null,null,null,null,null,"金額"]
[null,null,"１．地区補助金申請額（上限60万円）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"２．クラブ拠出金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"地区補助金申請額＋クラブ拠出金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"クラブ供出割合（50%以上になるよう）"]
[null,null,"３．その他の資金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"支出合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null,"支出予算（書ききれない場合は下の別表に記入して下さい、行を増やしたり減らしたりしないで下さい）"]
[null,null,"支出項目",null,null,null,"業者名",null,null,null,null,null,null,"金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"その他（最下段の別表に入力して下さい）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"支出合計金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"事業総額（支出合計と一致すること）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,"収支予算書は、日本円で記入して下さい。実際に配分される金額は、財団から地区に振り込まれた月のロータリーレートによりますので、補助金の金額は多少前後する場合があります。"]
[null,"9.","本プロジェクトが該当する「カテゴリー」とそれに対応する「種類」を一つずつ選択してください。"]
[null,null,"カテゴリー","種類"]
[null,null,"□経済発展","□農業",null,null,null,"□マイクロクレジット/事業開発",null,null,null,null,null,"□就職に役立つスキル/研修"]
[null,null,null,"□Covid-19   ",null,null,null,"□一般"]
[null,null,"□教育","□識字",null,null,null,"□コンピュータ/デジタルリテラシー/IT",null,null,null,null,null,"□芸術/音楽"]
[null,null,null,"□奨学金（小・中・高校）",null,null,null,"□奨学金(大学[学部レベル])  ",null,null,null,null,null,"□奨学金（大学[大学院レベル])"]
[null,null,null,"□学用品/学校設備",null,null,null,"□スポーツ/遊び場　　",null,null,null,null,null,"□建築/改築"]
[null,null,null,"□特別支援教育",null,null,null,"□Covid-19",null,null,null,null,null,"□一般"]
[null,null,"□環境","□環境教育",null,null,null,"□リサイクル/コンポスト/廃棄物管理",null,null,null,null,null,"□環境回復/保全"]
[null,null,null,"□樹木/植物",null,null,null,"□太陽/風力/再生可能エネルギー",null,null,null,null,null,"□汚染浄化"]
[null,null,null,"□野生生物",null,null,null,"□一般"]
[null,null,"□保健","□歯科",null,null,null,"□聴覚",null,null,null,null,null,"□疾病予防"]
[null,null,null,"□健康フェア",null,null,null,"□視覚",null,null,null,null,null,"□メンタルヘルス"]
[null,null,null,"□医療物資/医療機器",null,null,null,"□母子の健康",null,null,null,null,null,"□Covid-19"]
[null,null,null,"□一般"]
[null,null,"□平和","□リーダーシップ育成/教育",null,null,null,"□平和構築/紛争予防と解決",null,null,null,null,null,"□コンサート/イベント"]
[null,null,null,"□危険な状態にある人びとのためのアドボカシー/援助",null,null,null,null,null,null,null,null,null,"□一般"]
[null,null,"□水","□トイレ/衛生設備/衛生習慣",null,null,null,"□物資/アクセス/ろ過",null,null,null,null,null,"□農業/灌漑"]
[null,null,null,"□一般"]
[null,null,"□地域社経済発展","□災害支援/復興",null,null,null,"□建築/修復",null,null,null,null,null,"□食糧/飢餓"]
[null,null,null,"□スポーツ/レクリエーション/遊び場",null,null,null,null,null,null,null,null,null,"□美化/公園"]
[null,null,null,"□輸送",null,null,null,"□動物福祉",null,null,null,null,null,"□安全対策/緊急時対策"]
[null,null,null,"□Covid-19",null,null,null,"□一般"]
[null,null,"□地区サポート","□地域社会調査",null,null,null,"□補助金管理セミナー",null,null,null,null,null,"□グループ交換/職業研修チーム"]
[null,null,null,"□プロジェクトフェア",null,null,null,"□RIの青少年交換プログラム(青少年交換、RYLA、インターアクト）"]
[null,null,null,"□奨学生/職業研修チームのオリエンテーション"]
[]
[null,"10.","地区補助金長期計画書",null,"※上段は記入参考例"]
[null,null,"プロジェクト名","受益者","授与者",null,"協力団体",null,"1年目",null,"2年目",null,"3年目",null,"4年目",null,"5年目"]
[null,null,"○○教室\n△△スクール\n□□職業体験\n　　　　　　プロジェクト\n○△□フードバンク","千葉小学校","○○RC",null,"○△教育\nボランティア",null,"23-24年度"]
[null,null,null,"千葉東小学校",null,null,"□△教育\nボランティア",null,null,null,"24-25年度"]
[null,null,null,"千葉西小学校",null,null,"○○教育\nボランティア",null,null,null,null,null,"25-26年度"]
[null,null,null,"千葉南小学校",null,null,"○△教育\nボランティア",null,null,null,null,null,null,null,"26-27年度"]
[null,null,null,"千葉北小学校",null,null,"○○教育\nボランティア",null,null,null,null,null,null,null,null,null,"27-28年度"]
[]
[]
[]
[]
[]
[]
[null,"11.","プロジェクト担当者"]
[null,null,"担当者氏名",null,null,null,null,null,"クラブでの役職"]
[null,null,"自宅住所"]
[null,null,"電話番号",null,null,null,"FAX",null,null,null,null,"携帯"]
[null,null,"E-mail"]
[]
[null,"12.","銀行振込口座(補助金受領のための専用口座が必要です)"]
[null,null,"銀行名",null,null,null,null,null,null,"支店名"]
[null,null,"預金種類",null,null,null,null,null,null,"口座番号"]
[null,null,"口座名"]
[]
[null,"13.","署名人の氏名（２名必要です）"]
[null,null,"署名人"]
[]
[null,"14.","クラブの参加資格"]
[null,null,"地区ロータリー財団委員会にMOUを提出した日",null,null,null,null,null,null,"　　　　　　年　　　月　　　日"]
[null,null,"ロータリー財団補助金管理セミナーに出席した会員の氏名"]
[]
[]
[null,"15.","クラブ会長及び会長エレクト、次々年度会長（または次年度幹事）の署名"]
[]
[null,null,null,null,"ロータリークラブ会長及び会長エレクト、次々年度会長（または次年度幹事）"]
[null,null,null,null,"として、上記の通りロータリー財団地区補助金の配分をうけたく、申請します。"]
[]
[null,null,null,"提出者",null,null,null,null,"承認者",null,null,null,null,"承認者"]
[null,null,null,"本年度クラブ会長",null,null,null,null,"次年度クラブ会長",null,null,null,null,"　　□次々年度会長　または\n　　□次年度幹事"]
[null,null,"年度","2022-23",null,null,null,null,"2023-24"]
[null,null,"氏名"]
[null,null,"直筆署名"]
[null,null,"日付","2023 年　　月　　日",null,null,null,null,"2023 年　　月　　日",null,null,null,null,"2023 年　　月　　日"]
[null,null,"適用","申請書提出時のクラブの代表権者",null,null,null,null,"事業実施年度の代表権者",null,null,null,null,"同左（事業が越年の場合）\n会長が未定の場合は次年度幹事"]
[null,null,"署名は紙提出のみ、直筆で記入して下さい、Excelは空欄で結構です"]
[]
[null,"本章の申請は紙だけではなく、Excelファイルをメールで提出します。\n書式は第2790地区ホームページからダウンロードしてください。"]
[]
[null,"提出先",null,"〒286-0846　千葉県成田市松崎264　　　株式会社平野電設　　　平野伸一宛"]
[]
[]
[null,null,"8.支出予算が書ききれない場合、「その他」に該当するものを下表に記入して下さい"]
[null,null,"支出項目",null,null,null,"業者名",null,null,null,null,null,null,"金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"「その他」の合計金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,"8.で記入した「その他」の金額（一致すること）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]

{"sheet":"クラブ名","index":2,"n_rows":110,"n_cols":6,"rows_kept":110,"cut":false,"hidden":true,"merged":[]}
["※本ワークシートは、入力の支援に使うものです、手を加えないで下さい"]
[]
["プルダウンからクラブ名を選択","自動入力","自動","プルダウンから選択","プルダウンから選択","---プルダウンから選択---"]
["我孫子 RC","Abiko(15013)",11,"地元経済の成長（一般）","普通","一般事業"]
["旭 RC","Asahi(15014)",8,"地元経済の成長（建物の修復）","当座","人道的国際奉仕（平和構築と紛争予防）"]
["千葉 RC","Chiba(15015)",3,"地元経済の成長（災害復興）","貯蓄","人道的国際奉仕（疾病予防と治療）"]
["千葉中央 RC","Chiba Chuo(15016)",3,"地元経済の成長（ボランティア奉仕）","定期","人道的国際奉仕（水と衛生）"]
["千葉北 RC","Chiba Kita(50886)",4,"食料／農業（一般）",null,"人道的国際奉仕（母子の健康）"]
["千葉幕張 RC","Chiba Makuhari(25626)",3,"食料／農業（ボランティア奉仕）",null,"人道的国際奉仕（基本的教育と識字率向上）"]
["千葉緑 RC","Chiba Midori(51584)",4,"保健（一般）",null,"人道的国際奉仕（地域社会の経済発展）"]
["千葉港 RC","Chiba Minato(22333)",4,"保健（疾病）",null,"人道的国際奉仕（環境）"]
["千葉南 RC","Chiba South(15017)",4,"保健（ボランティア奉仕）"]
["千葉若潮 RC","Chiba Wakashio(52192)",3,"水（衛生）",null,"---プルダウンから選択---"]
["千葉西 RC","Chiba West(15018)",3,"水（供給／確保）",null,"子ども/青少年"]
["千葉東 RC","Chiba-Higashi(27858)",3,"水（ボランティア奉仕）",null,"障がい者"]
["千倉 RC","Chikura(15019)",6,"教育（一般）",null,"地区"]
["銚子 RC","Choshi(15020)",8,"教育（識字率の向上）",null,"経済的に恵まれていない人"]
["銚子東 RC","Choshi East(15021)",8,"教育（奨学金）",null,"高齢者"]
["船橋 RC","Funabashi(15022)",2,"教育（ボランティア奉仕）",null,"農業従事者"]
["船橋東 RC","Funabashi East(15023)",2,"管理運営費（最高3%で）",null,"一般市民"]
["船橋南 RC","Funabashi South(15024)",2,"臨時費（最高20%まで）",null,"ホームレスの人びと"]
["船橋西 RC","Funabashi West(15025)",2,"ロータリーの交換活動",null,"男性"]
["船橋みなと RC","Funabashi-Minato(29586)",2,null,null,"孤児"]
["富津シティ RC","Futtsu City(28478)",5,null,null,"難民/避難民"]
["富津中央 RC","Futtsu-Chuo(15027)",5,null,null,"学生"]
["市原 RC","Ichihara(15028)",4,null,null,"退役軍人"]
["市原中央 RC","Ichihara Chuo(25535)",4,null,null,"野生生物/動物"]
["市川 RC","Ichikawa(15029)",1,null,null,"女性"]
["市川シビック RC","Ichikawa Civic(28687)",1]
["市川東 RC","Ichikawa East(15030)",1]
["市川南 RC","Ichikawa South(15031)",1]
["印西 RC","Inzai(15033)",10]
["鎌ヶ谷 RC","Kamagaya(15034)",2]
["鴨川 RC","Kamogawa(15035)",6]
["柏 RC","Kashiwa(15036)",11]
["柏東 RC","Kashiwa Higashi(15063)",11]
["柏南 RC","Kashiwa Minami(15037)",11]
["柏西 RC","Kashiwa Nishi(15038)",11]
["勝浦 RC","Katsuura(15039)",6]
["上総 RC","Kazusa(15040)",5]
["君津 RC","Kimitsu(15041)",5]
["木更津 RC","Kisarazu(15042)",5]
["木更津東 RC","Kisarazu East(15043)",5]
["鋸南 RC","Kyonan(15044)",6]
["松戸 RC","Matsudo(15045)",13]
["松戸中央 RC","Matsudo Chuoh(15046)",13]
["松戸東 RC","Matsudo East(15047)",13]
["松戸西 RC","Matsudo Nishi(23837)",13]
["松戸北 RC","Matsudo North(15048)",13]
["茂原 RC","Mobara(15049)",7]
["茂原中央 RC","Mobara Chuo(29240)",7]
["流山 RC","Nagareyama(15051)",14]
["流山中央 RC","Nagareyama-Chuo(24788)",14]
["習志野 RC","Narashino(15052)",12]
["習志野中央 RC","Narashino-Chuo(24136)",12]
["成田 RC","Narita(15053)",10]
["成田空港南 RC","Narita Airport Minami(15073)",7]
["成田コスモポリタン RC","Narita Cosmopolitan(29883)",10]
["野田 RC","Noda(15054)",14]
["野田セントラル RC","Noda Central(28008)",14]
["野田東 RC","Noda East(15055)",14]
["大網 RC","Oami(53122)",7]
["大多喜 RC","Odaki(15056)",7]
["大原 RC","Ohara(15057)",7]
["小見川 RC","Omigawa(15058)",9]
["佐倉 RC","Sakura(15059)",12]
["佐倉中央 RC","Sakura-Chuoh(30813)",12]
["佐原 RC","Sawara(15060)",9]
["佐原香取 RC","Sawara Katori(31660)",9]
["新千葉 RC","Shin-Chiba(15061)",3]
["白井 RC","Shiroi(15062)",10]
["袖ケ浦 RC","Sodegaura(15064)",5]
["多古 RC","Tako(15065)",9]
["館山 RC","Tateyama(15066)",6]
["館山ベイ RC","Tateyama Bay(29636)",6]
["東金 RC","Togane(15067)",7]
["東金ビュー RC","Togane-View(53123)",7]
["富里 RC","Tomisato(21881)",10]
["浦安 RC","Urayasu(15068)",1]
["浦安ベイ RC","Urayasu Bay(83225)",1]
["八街 RC","Yachimata(15069)",10]
["八千代 RC","Yachiyo(15070)",12]
["八千代中央 RC","Yachiyo Chuo(15071)",12]
["八日市場 RC","Yokaichiba(15072)",8]
["四街道 RC","Yotsukaido(15074)",12]
["習志野中央 RAC","RAC"]
["千葉科学大学 RAC","RAC"]
["市原中央 RAC","RAC"]
["千葉マリン RAC","RAC"]
["佐倉中央 RAC","RAC"]
["鴨川 RAC","RAC"]
["RID2790 職業奉仕委員会","District Committees"]
["RID2790 ロータリー情報委員会","District Committees"]
["RID2790 ロータリー研修委員会","District Committees"]
["RID2790 クラブ奉仕・会員増強・基盤向上委員会","District Committees"]
["RID2790 広報・公共イメージ委員会","District Committees"]
["RID2790 フェローシップ・親睦活動委員会","District Committees"]
["RID2790 RLI推進委員会","District Committees"]
["RID2790 IT推進委員会","District Committees"]
["RID2790 社会奉仕委員会","District Committees"]
["RID2790 国際奉仕委員会","District Committees"]
["RID2790 青少年奉仕・地区学友会委員会","District Committees"]
["RID2790 環境委員会","District Committees"]
["RID2790 インターアクト委員会","District Committees"]
["RID2790 ロータアクト委員会","District Committees"]
["RID2790 青少年交換委員会","District Committees"]
["RID2790 RYLA委員会","District Committees"]
["RID2790 ロータリー財団統括委員会","District Committees"]
["RID2790 米山記念奨学委員会","District Committees"]
["その他"]

{"sheet":"用語集_編集","index":3,"n_rows":17,"n_cols":9,"rows_kept":17,"cut":false,"hidden":true,"merged":[]}
[]
["活動またはプロジェクトの種類"]
[]
["---プルダウンから選択---","経済発展","教育","環境","保健","平和","水","地域経済発展","地区サポート"]
[null,"---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---","---プルダウンから選択---"]
[null,"農業","識字","環境教育","歯科","リーダーシップ育成/教育","トイレ/衛生設備/衛生習慣","災害救援/復興","地域社会調査"]
[null,"マイクロクレジット/事業開発","コンピュータ/デジタルリテラシー/IT","リサイクル/コンポスト/廃棄物管理","聴覚","平和構築/紛争予防と解決","物資/アクセス/ろ過","建築/修復","補助金管理セミナー"]
[null,"就職に役立つスキル/研修","芸術/音楽","環境回復/保全","疾病予防","コンサート/イベント","農業/灌漑","食料/飢餓","グループ交換/職業研修チーム"]
[null,"Covid-19","奨学金(小・中・高校)","樹木/植物","健康フェア","危険な状態にある人びとのためのアドボカシー/援助","一般","スポーツ/レクリエーション/遊び場","プロジェクトフェア"]
[null,"一般","奨学金(大学[学部レベル])","太陽/風力/再生可能エネルギー","視覚","一般",null,"美化/公園","RIの青少年交換プログラム(青少年交換、RYLA、インターアクト）"]
[null,null,"奨学金(大学[大学院レベル])","汚染浄化","メンタルヘルス",null,null,"輸送","奨学生/職業研修チームのオリエンテーション"]
[null,null,"学用品/学校設備","野生生物","医療物資/医療機器",null,null,"動物福祉"]
[null,null,"スポーツ/遊び場","一般","母子の健康",null,null,"安全対策/緊急時対策"]
[null,null,"建築/修復",null,"Covid-19",null,null,"Covid-19"]
[null,null,"特別支援教育",null,"一般",null,null,"一般"]
[null,null,"Covid-19"]
[null,null,"一般"]