Annual Gala Partnership Application Organization*Tax I.D. #*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mailing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person* First Last PhoneFaxTitleEmail Website Project Summary (In 250 words or less, please describe in detail your organization’s project that would benefit from 2017 Gala funding (up to $10,000):*In 200 words or less, tell us why your project should be chosen by the SHF?*United Way/Other Financial Support for Your Agency*YesNoHow much financial support to you get from United Way?*Project Starting Date* Project Completion Date* Total Project Budget*Total Agency Budget*Amount needed to fully fund the project*Total Project Budget (upload file)*Letter(s) of Support (upload files) Drop files here or If selected, your organization will be asked to fill a table of eight or two and help with securing sponsorship support from the area that would benefit from the project. Please check the box below if you agree to this requirement:* I Agree NameThis field is for validation purposes and should be left unchanged.