Bill Sugra Memorial Fund Grant Application

Client Population Served: (be specific, i.e. children, elderly, homeless etc.)
Number of Individuals served:
Total Project Budget:
Funds Still needed:
Funders in past year:
1. ._____________________________
2. ._____________________________
Evaluation:
(Describe method of evaluating project and how you measure success.)
Please attach the following:
1. List of Organization Board of Directors
2. Copy of Tax Exempt Status
Signature:
Date:
Mail completed application to the above address by July 1 st .