Mission Grant Application

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”. 

Date you are submitting this application:  ____________________

Part I              Applicant Information

Name             ____________________________________________

Address         ____________________________________________

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.)?  

Mission Endowment Application

Page 2

Part II             Project/Activity Description 

(Please submit this typed, no longer than one page)

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?

_______________________________________________________________________.

Part III                       Project Information and Budget

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?