Clone of 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:
- Stabilization Plan (temporary and long-term)
- Insurance claim plan
- Missional Impact statement
- Contractor Bids
- Financial statements
- District Superintendent Concurrence
To see the full policy click here: Trustees Firm Foundation Award
Emergency Fast-Track 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.

Emergency Description
Describe Emergency & Immediate Risk:
Date Emergency Occurred:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Missional Community Impact:

Timeline
Temporary Stabilzation Complete:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Planned Repair Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Anticipated Completion Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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 of Damage Upload Here:

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

Cancelof
Latest audit/review letter

Cancelof
Insurance claim documentation (if applicable)

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

Cancelof
Missional Impact Statement
Missional Impact Statement Upload Here:

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

Cancelof
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
Council Chair Email Address (if applicable):
example@example.com
Project Manager Email Address:
example@example.com
Should be Empty:

Emergency Fast-Track Application Form