22.02.2015 Views

Bill Sugra Memorial Fund Grant Application

Bill Sugra Memorial Fund Grant Application

Bill Sugra Memorial Fund Grant Application

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>Sugra</strong> <strong>Memorial</strong> <strong>Fund</strong> Committee<br />

c/o St. Thomas More Church<br />

1040 Flexer Ave.<br />

Allentown, PA 18103<br />

Mission:<br />

The <strong>Bill</strong> <strong>Sugra</strong> <strong>Memorial</strong> <strong>Fund</strong> is established in memory of <strong>Bill</strong> <strong>Sugra</strong>, a<br />

compassionate, caring and loving young man whose life was tragically taken in<br />

the terrorist acts of September 11, 2001 at the World Trade Center in New York<br />

City.<br />

The purpose of the fund is to encourage, support and assist the needy and<br />

disadvantaged to improve their lives during times of difficulty, regardless of<br />

geographic location, race, religion or gender.<br />

Due Date: JULY 1 st<br />

Name of Organization:<br />

Address:<br />

<strong>Bill</strong> <strong>Sugra</strong> <strong>Memorial</strong> <strong>Fund</strong><br />

<strong>Grant</strong> <strong>Application</strong><br />

City: State: Zip:<br />

Telephone:<br />

Fax:<br />

Email address:<br />

Contact person:<br />

Title:<br />

Amount Requested:<br />

(maximum amount to be granted per agency is $1,000)<br />

Organizational Background: (purpose & objectives)<br />

Brief Project Description: (if desired, attach 1 page maximum of additional comments)


Client Population Served: (be specific, i.e. children, elderly, homeless etc.)<br />

Number of Individuals served:<br />

Total Project Budget:<br />

<strong>Fund</strong>s Still needed:<br />

<strong>Fund</strong>ers in past year:<br />

1. ._____________________________<br />

2. ._____________________________<br />

Evaluation:<br />

(Describe method of evaluating project and how you measure success.)<br />

Please attach the following:<br />

1. List of Organization Board of Directors<br />

2. Copy of Tax Exempt Status<br />

Signature:<br />

Date:<br />

Mail completed application to the above address by July 1 st .

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!