Congregational Life Committee Grant Application

Date of Request *

Name and Location of Congregation

Organization or Agency which has an Affiliation with the NIS

Street Address *

Town or City *

State *

Zip Code *

Name of Pastor/Pastoral Leader/Organization Leader *

Does this leader approve of this grant request? *

Yes

Title *

Position in Congregation or Organization *

First Name *

Last Name *

Primary Email Address *

Mobile Phone *

For what will the money be used? *

Who from your congregation or organization will be involved in the project? *

What is the need you seek to meet? *

Who will benefit from its use? *

In what way is this proposal related to the ongoing work within the congregation? *

To what area of congregational life is this project related? *

Education in the Congregation or Agency

Safe Church/Child Safety within the Organization

Stewardship

Worship

Youth Ministry

Other - please explain in the "additional comments section below".

Is this the first time that you have applied for a CLC grant? *

Yes

What other sources of funding have you sought? *

What is the total amount needed to complete this project? *

How will you make your project availble to those who may wish to follow your model? *

Comments related to this application which the applicant wishes to add.