Name of Organization
Primary Contact Person
First Name
Last Name
Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.
Organization Website
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization EIN
What is your company's mission statement?
In one paragraph what does your organization do?
Please state your grant request. How this grant will aid you in living out your mission as an organization and the fruit you believe could occur through this project?
How does your organization represent Christ?
Number of people served/clients?
Please attach your organizations financial statements. (Balance Sheet, Income Statement, Statement of Cash Flows, Statement of Functional Expenses)
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Please attach any further documentation that can help the grant committee
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Number of volunteers in your organization
List the geography your organization serves
Please sign your name
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