ApplicationProject Funding Application Sutherland Harris Hospital Foundation Funding RequestPlease read through the application before beginning to ensure you have all required information and have completed the required budget document found here.* denotes mandatory field Project Title * Organization Name * Registered Charity Number * Mailing address * Contact Person * Phone * Email * What community health issue is your project aiming to address? * Please identify the target group and how they will benefit from your project? * What is the goal/purpose of your project? What is the timeline? * How does your project build upon existing community resources? * What contribution is your organization making towards this project? * Total amount of funding requested from the Sutherland Harris Memorial Hospital Foundation? * Upload Completed Budget Document here * Drop a file here or click to upload Choose FileMaximum file size: 104.86MBI certify, to the best of my knowledge, the information provided in this grant application is accurate and complete, and the project is endorsed by the organization I represent. * Please check here Date (DD/MM/YYYY) * Name and title * Please note: Upon approval of your request, when your organization receives its funding, a Letter of Agreement must be completed, outlining the terms and conditions by which your organization must abide. Captcha If you are human, leave this field blank. SubmitSkip back to main navigation
