Strategic Partnership Request
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Church Name
*
Church City
*
Association
*
Please Select
Alexander Association
Anson Association
Ashe Association
Atlantic Association
Avery Association
Beulah Association
Bladen Association
Blue Ridge Association
Brier Creek Association
Brunswick Association
Brushy Mountain Association
Buncombe Association
Burnt Swamp Association
Cabarrus Association
Caldwell Association
Cape Fear Network of Churches
Carolina Association
Catawba River Association
Catawba Valley Association
Cheoah Association
Chowan Association
Columbus Association
Dan Valley Association
Dock Missionary Association
Eastern Association
Elkin Association
Flat River Association
French Broad Association
Graham Association
Greater Cleveland County Association
Greater Gaston Association
Green River Association
Haywood Association
Liberty Association
Little River Association
Macon Association
Metrolina Association
Mitchell Association
Mt. Zion Association
Neuse Association
New River Association
New South River Association
North Roanoke Association
Pee Dee Association
Piedmont Association
Polk Association
Raleigh Association
Randolph Association
Robeson Association
Rocky Face Association
Rowan Association
Sandhills Association
Sandy Creek Association
Sandy Run Association
South Fork Association
South Mountain Association
South Roanoke Association
South Yadkin Association
Stanly-Montgomery Association
Stone Mountain Association
Stony Fork Association
Surry Association
Tar River Association
Tennessee River Association
Three Forks Association
Transylvania Association
Triad Church Network
Triangle East Association
Triwest Association
Truett Association
Tuckaseigee Association
Union Association
West Chowan Association
Yadkin Association
Yancey Association
Zotung Chin Association
None
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Will the person making the application also be responsible for the project?
*
Yes
No
Project Leader Name
*
First Name
Last Name
Project Leader Email
*
example@example.com
Project Leader Role
*
E.g., a college and young adults pastor, a college ministry resident, etc.
Title of Project
*
Date of Request
*
-
Month
-
Day
Year
Date
How will this request be used to fulfill the great commission?
*
What is the objective of the project?
*
Please include specific goals and a brief outline of how you plan to accomplish this goal.
Which campus(es) do you foresee this impacting?
*
Total Cost of This Project
*
Amount Association, Church or Network Will Contribute
*
Total Amount Requested From Convention
*
Beginning of Funding Term
*
-
Month
-
Day
Year
Date
Request of Funding Frequency
*
Quarterly
One-time
End of Funding Term
*
-
Month
-
Day
Year
Date
Signature of Associational, Church or Network Leader
*
Email Address of Associational, Church or Network Leader
*
example@example.com
Phone Number of Associational, Church or Network Leader
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upon approval of this request, to what name and address should we send the check for funding?
Recipient Name
*
First Name
Last Name
Recipient Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: