Community Ministry Fund Application
Please fill in all required fields (marked with a red asterisk) below:
Your Name
*
Your Email Address
*
example@example.com
Organization Name
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Website Address
*
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Organization Leadership
Executive Director
*
Executive Director Phone Number
*
Please enter a valid phone number.
Development Director
Development Director Phone Number
Please enter a valid phone number.
Volunteer Coordinator
Volunteer Coordinator Phone Number
Please enter a valid phone number.
Other Contact Name
Other Contact Phone Number
Please enter a valid phone number.
Best Email Address for Orgnization
example@example.com
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Request Details
Purpose or Mission Statement
*
Year Founded
*
Faith and/or Denomination Affiliation (if applicable)
Describe your agency’s programs/services
*
To help us understand the needs of the people served by your agency, please describe the people served, their needs, and the geographic area in which they reside
*
The mission of Vine Street Christian Church is “to actively pursue spiritual growth while contributing to the basic needs of others.” How do your programs/services fulfill that mission?
*
Approximate percentage of primary funding mix (e.g., government grants, religious organizations, individual support, foundations, etc.):
*
If your agency received funds from Vine Street Christian Church in the past, please describe how these funds were used.
*
What is the amount of your request in this application?
*
Please describe how you intend to use the requested funds.
*
What are any volunteer opportunities with this initiative or within your organization?Â
*
Please share any existing relational connections between your agency and Vine Street Christian Church, especially including members of Vine Street Christian Church who are active in your organization.
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Required Documents
Your latest IRS letter(s) regarding the current tax-exempt status under Section 501(c)(3) or Section 170(c) and the public charity status under Section 509(a)(1), (2), or (3) or the Internal Revenue Code.
*
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A current and accurate list of the Board of Directors or Trustees
*
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The current budget for the specific project for which funding is sought, if applicable
*
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The annual agency operating budget for the last two fiscal years
*
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A current balance sheet and profit and loss statement
*
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The 1st Page from the most recent 990 Federal Income Tax Return Form
*
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Submit
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