FFA Application Form

The Upper New York Annual Conference of the United Methodist Church Board of Trustees have established an award program to active local churches for capital repairs.

To qualify:
- Demonstrate sustainable ministry and sound finances
- Obtain required church and DS approvals, DBLB review
- Explore insurance and other funding sources
- Signed Funding Agreement and progress reports
- Submit all required application documents including:
  - 2 years of financial statements
  - 2 or more contractor bids
  - a mission impact statement
- Emergency or safety risk fast track application available
To see the full policy click here: Trustees Firm Foundation Award
Application Form

Complete this application using the information requested in the referenced document. Default all fields to optional unless the document clearly marks them required.
Church Information
Church Name
Charge/Parish
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
District
Pastor Name

First NameLast Name
Pastor Email
example@example.com
Pastor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Church Trustee Chair Name

First NameLast Name
Church Trustee Chair Email
example@example.com
Church Trustee Chair Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church Council Chair Name

First NameLast Name
Church Council Chair Email
example@example.com
Church Council Chair Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Project Manager Name

First NameLast Name
Project Manager Email
example@example.com
Project Manager Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Project Overview
Title of Project
Location(s)
Description
Category
If Other Category, describe
Missional Community Impact

Project Budget and Funding
Total Project Cost
Requested Amount
Local Match ($ / % and sources)
Other Funding Sources (insurance, awards, endowments)
Bid #1 (amount & contractor)
File Upload

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Bid #2 (amount & contractor)
File Upload

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Selected Contractor & rationale (if known)

Project Schedule
Planned Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Planned Completion Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Permit Required? (Yes/No & details)
Seasonal/Weather Dependencies
Approvals
District Building and Locations Board Review Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If DBLB has not reviewed yet, please enter your District DBLB Chair Email address here:
example@example.com

Required Documentation
Photos/Inspection Report Upload Here:

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Financial Statements (2 years + current YTD) Upload Here:

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Latest audit/review letter

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Insurance claim documentation (if applicable)

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W-9 & Contractor license/insurance Upload (required)

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Accessibility & code compliance narrative (if applicable)
Maintenance plan post-repair (required)
Parsonage standards compliance (if applicable)
Parsonage standards compliance (if applicable)

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Missional Impact Statement
Missional Impact Statement Upload Here:

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District Superintendent Concurrence Letter
Email my District Superintendent this request please. My DS's email is:
example@example.com
DS Concurrence Letter Upload Here:

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Approvals (will be sent in a subsequent email)
Pastor Agrees to the above information by typing Full Name below:
Pastor approves of this application (Today's Date):

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Church Trustee Chair Email Address:
example@example.com
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Council Chair Email Address (if applicable):
example@example.com
Project Manager Email Address:
example@example.com
Should be Empty:

Application Form

Church Information

Project Overview

Project Budget and Funding

Project Schedule

Approvals

Required Documentation

Approvals (will be sent in a subsequent email)

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