GRANT RECIPIENT REPORT Feeding Indiana Emergency Grant
Amount Received
*
Program Name
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Church
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of person completing this form
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Your relationship to program
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Briefly tell us how the grant funds received were used:
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Please share a story of how lives were positively impacted by the grant funds that were received. Your story may be used for grant promotion.
*
I give permission for the Conference to share our stories and photos at large.
Yes, you may share
No, please do not share widely
Yes, but I will email you details at: in.comm@inumc.org
Please upload 2-3 pictures of your program in action and describe below:
*
Please describe photos above:
Churches/organizations not completing a report will be ineligible for future grants.
Submit
Should be Empty: