Annual Gala Partner Application – Superior Health Foundation

Gala 2021 Partner Application

Organization Name *

Tax ID # *

Street Address *

Mailing Address *

City *

State *

Zip Code *

Contact Person *

Title *

Email *

Phone *

Website/URL *

Project Summary (In 200 words or less, please describe in detail your organization’s project that would benefit from 2021 Gala funding (up to $10,000): *

In 150 words or less, tell us why your project should be chosen by the SHF? *

United Way/Other Financial Support for Your Agency: *

Yes

If yes, how much?

Project Start Date *

Project End Date *

Total Project Budget *

A detailed budget attachment is required and can be uploaded below.

Amount Needed to fully fund the project *

Total Agency Budget *

Upload Detailed Budget – Excel Sheet or PDF *

Maximum upload size: 104.86MB

Upload Letters of Support – PDF *

Maximum upload size: 104.86MB

If selected, your organization will be required to fill at least two tables of eight people, agree to serve on either the Gala Prize and/or Sponsorship Committee, and be committed to securing at least one sponsor from the area that would benefit from the project. Please sign if you agree to this requirement: *

If you are human, leave this field blank.