This application is due by April 4, 2012. Please complete this Mission Grant
Application and submit with no more than 2 additional pages to the church office in an envelope marked “2012 Mission Endowment Grant Application”.
City, State, Zip ___________________________________________
Cell Phone __________________ E-mail ________________________________
Are you a member of First Congregational United Church of Christ? YES NO
Is this a request for a Team, Class, Group, Committee or Board? YES NO
Name of the Group: _________________________________________________
Amount of Funding Requested ________________________________
(Please note, grants are determined by the amount of funds available and the number of submitted grants that are eligible for funding.)
Have you/your group received a Mission Endowment grant in the past? YES NO
If so, when did you receive funding and in what amount?
Name of Project: _____________________________________________
Date:_____________________ Amount of Funding:_______________
We are asking grant recipients to share their “story” about their funded project or activity with the congregation. If your request were funded, how and when would you like to do this (i.e., at a service, during fellowship, verbal presentation, written insert, poster display, etc.)?
A. Describe the Project/Activity that you are requesting support for. In your own words how does this project meet the Endowment’s Mission and Purpose.
B. Is this Project/Activity co-sponsored by any other Organization? YES NO
C. If yes, what is the name and function (purpose) of this organization?
In three paragraphs or less, please tell us about the Project or Activity for which you are requesting funds. (Namely, What are you going to do? Where will this activity take place and when? What do you expect to achieve with your efforts?)
Date(s) of the Project ______________________________________
Duration (hours/days) ______________________________________
Please identify the total costs of the Project _______________________________
Are you receiving funds from any other sponsor(s)? _______________
If yes, please identify the sponsors and the financial or in-kind support they are contributing.
Name of Organization: _________________________________________________
Financial Support I’m receiving for this Project/Activity: __________________.
In-kind Support I’m receiving for this Project/Activity: ____________________.
Is there anything else you’d like us to know about this Project/Activity and would like to add to your application?