Continuing Education Funding Request
These funds are for clergy who are pursuing a continuing education opportunity including classes beyond seminary (D.Min. work included). A one-time payment of up to $200 is available (for those who make over $50,000) or up to $400 (for those who make less than $50,000). These funds are available annually from July 1 - June 30 to each clergy person in the VAUMC and are distributed on a rolling basis.
Today's Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Application
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Please Select
This application is being initiated by the clergy person.
This application is being initiated at the request of the District Superintendent of SPRC/PPRC.
This application is under the provision of an IPD (Intentional Professional Development Plan).
Phone Number
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Please enter a valid phone number.
Conference Relationship
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Please Select
Full Member (Elder or Deacon)
Associate Member
Provisional Member (Elder or Deacon)
Licensed Local Pastor (part-time or full-time)
Associate Member
Other Elder
District
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Please Select
Coastal Virginia
Living Waters
Mission Rivers
Mountain View
Northern Virginia
Shenandoah River
Three Notch'd
Valley Ridge
Salary (Your base salary includes AR and is a factor in the amount of your grant).
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How many years have you been in appointed ministry?
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Have you also applied for Clergy Development Funds? (These funds are for those requesting over and above what is available through Continuing Education Funds).
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Yes.
No.
If yes, what amount did you apply for from Clergy Development funds?
Amount you are requesting for Continuing Education:
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Please enter dollar amount
Continuing Education
Fill in the section below if you are applying for funds to attend an event or class.
Title of Continuing Education Event/Class
Date(s) of event/class:
Event Location (type online or local if no travel is involved):
How many sessions/days are involved in this opportunity?
Include a website with further information if applicable.
Number of C.E.U.'s if applicable.
Registration Deposit for Event
Have you already made a deposit toward the registration?
Yes, I have made a deposit.
No, I have not made a deposit.
If you will make you own lodging and meal arrangements, what do you estimate the cost to be? If awarded a per diem as part of your grant, you will be required to provide receipts for reimbursement.
Amount your local church/organization budget contains for continuing education?
If funds from your local church or organization are not being used for this event, please offer an explanation.
Amount Available in your own Continuing Education funds for this experience?
Amount available from your Accountable Reimbursement for this experience?
What educational opportunities have you attended the last two years?
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What characteristics from the Characteristics for Effective Clergy does this event address- list all that apply (see www.vaumc.org/ClergyContinuingEducation to view list).
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Statement of Goals: Upload a statement of goals for your requested opportunity. Please put your name on file.
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Method for Receiving Funds
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1. Check made out to me (will be sent to address above.)
2. Electronic Deposit to my account (Provide bank information below).
3. Check made out to the sponsoring organization (share info below).
Address of Sponsoring Organization or Coach: If you chose option two above please share the address of where the grant money should be sent on your behalf.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Electronic Funds Transfer
Please provide requested bank information.
Bank Name
Bank Account Number
Bank Routing Number
By signing my name below and clicking on the submit button, I verify that all the information I provided is correct. Further, I understand that funds paid to me will be considered personal income if I fail to submit documentation to the Center for Clergy Excellence as evidence that these fund were used toward by continuing education. I further agree that if I do not participate in this event, I will return the grant in full.
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Thank you!
You will receive an email copy of this form and will hear from Clergy Excellence about disbursement information soon.
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