Application for Retired Clergy Grants

Application - Retired Clergy Grants

Please complete the form below to apply for a Retired Clergy Grant. All information will remain confidential and subject to Bishops' review. (Required information is noted with a red asterisk.) ECCT appreciates your service to God's Mission and hopes that your retirement is fulfilling. If you, a retired clergy member or surviving spouse, encounter a need for which a financial grant of up to $10,000 would make a difference, we invite you to complete this grant request. These grants are meant to assist you when no other option is available to you and the need is both immediate and crucial. It will be a grant and not a loan. It is intended to get you over a particularly challenging financial problem. This form may be completed by you or by the Region Missionary/Region Chaplain on your behalf or at your request.
Full Name *

Prefix First Name Middle Name Last Name Suffix
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Phone Number *

Area Code Phone Number
1. Type of Grant *
2. What is the specific need being addressed? *
3. How much money are you requesting? *
Minimum grant = $250 (Contact Retired Clergy Chaplain/Region Missionary for a request under $250.) Maximum grant request must be less than $10,000.

Contact Information for Region Missionaries:

Maggie Breen (Northeast Region): 860-214-0085, mbreen@episcopalct.org

The Rev. Carlos de la Torre (Southwest): 914-648-8584, cdelatorre@episcopalct.org

The Rev. Rachel Field (South Central Region): 484-364-9001, rfield@episcopalct.org

Erin Flinn (North Central Region): 860-966-3742, eflinn@episcopalct.org

Eliza Marth (Northwest Region): 860-387-2190, emarth@episcopalct.org

The Rev. Rachel Thomas (Southeast Region): 860-316-8184, rthomas@episcopalct.org
4. Do you have resources that can be applied to this? *
5. Are you aware of other resources that might assist you? *
6. Please indicate any other aid for which you have applied? *
7. Is this an ongoing need or an emergency need? *
8. If an ongoing need, what is your plan to address this long-term?
9. Is there anything else we should know? *
10. Submitted by: *
Name of Person Completing Application
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Should be Empty:

Application - Retired Clergy Grants