Big Brothers, Big Sisters Chapter:

Project Title:

Mailing Address:

City, State, ZIP Code:

Telephone Number:

Email Address:

Authorized Representative:

Title of Authorized Representative:

Briefly describe your organization's goals, programs, and recent accomplishments.

Summarize a project or need (in 100 words or less) funds raise by a Suitcase Party would be used towards:

Please give us an example of one of your current fundraisers. Include if its an annual event, the number of attendees, an the net amount raised from the event.

By Clicking Submit Application below, the applicant or applicant's representative certifies the following: that they have been designated by the governing body of their organization(i.e., the Board of Directos or similar body) to act as the authorized representative of the applying organization; That they have read and understand all sections of this application packet, and certify that the information presented in the attached grant proposal is accurate. They agree to comply with all requirements set forth in the grant guidelines, and they understand that all failure to comply with reporting requirements will result in forfeiture of grant moneys.