CNH Worker Wellness Grant Application

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Name of primary contact person.* This field is required.
First Name
Last Name
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Congregation(s) Name:* This field is required.
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Area Code
Phone Number
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Provide the following details for the organization receiving the funds.* This field is required.
Name of Organization.
Mailing address.
Attention to: (Name/Department)
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Date & location of your event.* This field is required.
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Types of EventsChurch Worker Retreats include gatherings from District established groups (circuits) or gatherings of specific groups (i.e. DCE's, Administrators, language specific, etc.) that are looking for a more robust retreat setting. The maximum amount for Retreat Outings is $1,500. Outings include at least 3 church workers from at least 2 CNH District schools or congregations. This event should allow you to participate in something the encourages support, encouragement, connection, and collaboration. Examples include camping, golfing, biking, a sports event, etc. This maximum amount for this grant is $250.
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Which event meets your needs?* This field is required.
Please Select
Please Select
Church Worker Retreat
Worker Wellness Outing
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Enter the amount you are requesting.Maximum $1,500
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Enter the amount you are requesting.Maximum $250
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General Wellness* This field is required.How do you anticipate this program/event will contribute to your overall well-being?
Huge
Large
Normal
Small
Ok
Ok
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How many participants do you anticipate?* This field is required.
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Does your event include more than one congregation?* This field is required.
YESNO
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After your event you will receive another form to fill out. I acknowledge I am responsible to complete the form in a timely manner.* This field is required.Don't forget a group photo!
YESNO
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Signature* This field is required.
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