HCC Foundation Grant Request

Form Number HCCF01
HCC Foundation

Grant Request Form
Enter Date Completing Form

MonthDayYear
Select Type of Request (Check only one box!)
Fill in the amount requested (numbers only)
Write the amount requested in words (ex: One thousand 500 hundred for 1,500)
Additional information for Grant Requests, including project budget, project bids, or cost estimates, may be included in the text below, sent via email to the Foundation President as an attachment, or upload the files that you wish to include to enhance your request.
State the Purpose of This Request
Upload additional information pertinent to this request

Cancelof
Enter Short Title of Request (This name will be used when submitting payment requests)
Enter Name of Committee/Organization that you are representing
Ex: (Consistory, Foundation, Worship Committee, Building/Grounds etc.)
Name of Person Completing Form

First NameLast Name
Completing Form for Whom?

First NameLast Name
Enter requester's title or position
Enter N/A if not applicable
Your Email
example@example.com
Contact Address if different than Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Other Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature of person completing form
Should be Empty: