Please tell us the name of the congregation making this request.
The address of the church listed above.
Name of the contact person at the church.
You need to provide your email address to receive a confirmation email.
Please tell us what your needs, your members needs, and/or your community partner's needs are and what you expect to spend the money on. If you have estimates or quotes, please include them here.
Please tell us if you have any additional sources of funding such as insurance, other grants, etc.
Please check all that apply.
Please provide us with a date that this grant will be needed by.
Please provide us with the amount requested.