Hensley Fund Application
Instructions for submitting a Hensley Fund Grant application
Application to be completed one month prior to the event
Call (787-0392) to inform office of your application.
After the Foundation Committee reviews your request, you will be notified if it has been approved and what amount is approved.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Daytime Phone
-
Area Code
Phone Number
Evening Phone
-
Area Code
Phone Number
Name of Conference/Program for which you are requesting a grant
*
Location and sponsor
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Purpose or focus of the Conference/Program
*
How do you see this experience strengthening the ministry of St. Martin's? What specifically do you hope to bring back from it for the benefit of the parish?
*
What is the cost to attend?
*
Enter a dollar amount
Are you requesting a full scholarship?
*
Yes
No
If No, how much are you requesting?
Enter a dollar amount
My financial participation will be
Enter a dollar amount
Amount requested from Hensley Fund?
Enter a dollar amount
Please note: The committee may not reimburse all requested expenses.
To whom should the check be made?
*
To what address should the check be sent?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Advice
*
Follow-up Agreement
*
I agree to write a statement within one week of the conclusion of this event detailing how this program met my expectations.
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