Assistance Request Form

Northeast Florida Baptist Association Financial Assistance Request Form
Type of Assistance Requested*

Ongoing/Emerging Ministry/Mission TripUnexpected Circumstances
The Associational Vision Team will review all "Unexpected Circumstances" Requests. Please anticipate a 1-2 month delay before any funds are disbursed (unless special circumstances are considered). Additional follow-up may be required.
We request that any churches that utilize the Hamrick Memorial Fund for Missions to participate in the annual Hamrick Memorial Offering the second Sunday in July.
Church Information
Church*
Insert Church Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor/Leader Contact Information*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Request Details
For Ongoing/Emerging Ministry/Mission:
Description of the Ministry/Mission Opportunity:*
Please provide a detailed description of the ongoing or emerging ministry/mission trip for which you are seeking assistance
Resource Stewardship:*
How is the existing congregation stewarding its resources (personnel, time, and finances) to support this opportunity?
Short-term Impact:*
What is the anticipated short-term impact of this opportunity? How does it align with the church's everyday mission?
Kingdom-Impact Stories*
Are there any stories of Kingdom-impact that this ministry/mission has had in the past?
By Submitting This Request, I Agree to Be Willing to Share a Report on the Kingdom Impact of this Opportunity*

Yes
For Unexpected Circumstances
Circumstance Description*
Please provide a detailed description of the situation and what led to you reaching out to the association for assistance.
Current Steps Being Taken:*
What steps are currently being taken to address/repair the circumstances?
Direct Appeals for Assistance:*
Has a direct appeal been made to the congregation or other entities to assist with meeting the need?
Deferred Maintenance:*
If the emergency is a result of deferred maintenance, what steps are currently being taken to mitigate and manage additional deferred maintenance?
General Questions
Financial Amount Requested:**
If for an ongoing/emerging ministry/mission opportunity, the funds are limited to $250-$500 per church per year. If it is for unexpected circumstances, then the funds disbursed are decided on a case-by-case basis and are limited to the remaining resources for such emergencies.
Please feel free if you have any additional notes
Declaration*

I/We declare that the information provided in this form is true and accurate to the best of my/our knowledge and that any funds received will be used solely for the purposes stated herein.
Date

MonthDayYear
Date
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Northeast Florida Baptist Association Financial Assistance Request Form

Church Information

Request Details

For Ongoing/Emerging Ministry/Mission:

For Unexpected Circumstances

General Questions