Lifeline Fund—Supplemental Grant Application

Supplemental Grant Application

Lifeline Fund
PLEASE COMPLETE ALL RELEVANT FIELDS.
Today's Date

Month Day Year
Date
Name *

First Name Last Name
Gender
Race
Contact Phone Number *

Area Code Phone Number
Contact Email *
example@example.com
Name & location of congregation you are currently serving: *
ex: Christ the King, Charlotte
Your Synod *
Choose from drop down list
To complete this form later, you can click SAVE at the bottom of this page or anytime on subsequent pages. Otherwise click NEXT.

What are the causes of your financial need? Check all that apply.

Financial impact related to the COVID-19 pandemic (e.g., loss of income, loss of call, reduced benefits, etc.) Economic inequality (e.g., limited family finances to support your education, living in an area of high poverty, health challenges that limit income, gender pay gaps, discriminations that limit employment opportunities, etc.) Racial injustice (e.g., discrimination, denial of opportunity, a hierarchy that disregards equality, segregation, mischaracterization, unjust treatment, etc.)
Describe the circumstances that led you to check each of the boxes above.
What is the estimated average yearly difference between your defined compensation and synod guidelines?
Estimated annual difference
How many years of your ordained ministry were you paid below synod guidelines?
# of years

How many years did you spend in part-time ministry when you would have preferred a full-time call?
# of years
How many dependents were in your family at the time(s) of the circumstance(s) you identified in the checkboxes above?
# of dependents
Female rostered ministers: How many years do you believe you were paid less than a male colleague in a similar call?
# of years
All: How many years have you served in a community with high levels of poverty?
# of years
What other sources of financial support or assistance have you received for the above mentioned causes and what amount of financial support have you received?
Sources of support AND amount of support
How many years have you been on the active roster of the ELCA?
# of years
How many years before your anticipated retirement?
# of years

You're done. Click SUBMIT.

(you can also click the "Print Form" button to print your submission.)
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Supplemental Grant Application