CWJC/CMJC Site Grant or CWJC Program Development Grant Endorsement

CWJC/CMJC Site Grant or CWJC Program Develoment Grant Endorsement Form
The deadline to submit is Feb. 1, 2025 at 4:30 p.m. CST
The characteristics of the ideal program recipient of this grant are:
- In operation at least one year
- Demonstrates fulfillment of purpose, key elements, and statement of faith
- A nationally certified site
- Sound fiscal management
- Specific plans for program expansion or enhancement
Please indicate the grant that you are providing an endorsement
Name and Location of Site*
Are you the:*

State WMU executive director or staff memberAdvisory Council charpersonSite CoordinatorPaid or volunteer staffOther
If other, please explain:
How would a grant benefit this site?*
Is there any reason why this site should not receive this grant? If so, please explain.*
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Should be Empty:

CWJC/CMJC Site Grant or CWJC Program Develoment Grant Endorsement Form