Application Servant Event Grant
Content
1333 S. Kirkwood Road St. Louis, MO 63122-7295 (314) 996-1386 www.lcms.org
Servant Event Grant Application
Name of servant event project_________________________________________ Address of project__________________________________________________ Applicant (Organization) ____________________________Phone _________ Applicant address __________________________________________________ Street Address City State Zip Project Coordinator _________________________________________________ Project coordinator’s email address_____________________________________ LCMS district _____________________________________________________ Amount requested_____________________
1.
Brief statement of issues to be addressed, organization’s history, goals and prior involvement with these issues.
2.
Project’s starting date and duration.
3.
a. Brief summary of the project and anticipated outcome. b. How will the outcome be measured? c. Indicate how the people to be served will be involved. d. How will this project help these people grow in understanding of Christ’s love and His Word?
4. Funding Attach an itemized budget for the total project. (See Excel attachment.) Identify all funding sources, potential or confirmed, including your own organization. List the funding source for each budget item.
5. Relationships – name and describe any ministry partnerships with applicant’s LCMS district, other local LCMS congregations, social ministry organizations or other agencies. Name City & State Involvement
If your application is approved, how will you publicly acknowledge that you received funding from LCMS?
Prepared by _____________________________________________________________ Name Title Date Additional Attachment A copy of the IRS letter indicating the organization’s 501 (C)(3) status and taxexempt number is required if the applicant is other than a congregation.
Servant Event Grant Application
Name of servant event project_________________________________________ Address of project__________________________________________________ Applicant (Organization) ____________________________Phone _________ Applicant address __________________________________________________ Street Address City State Zip Project Coordinator _________________________________________________ Project coordinator’s email address_____________________________________ LCMS district _____________________________________________________ Amount requested_____________________
1.
Brief statement of issues to be addressed, organization’s history, goals and prior involvement with these issues.
2.
Project’s starting date and duration.
3.
a. Brief summary of the project and anticipated outcome. b. How will the outcome be measured? c. Indicate how the people to be served will be involved. d. How will this project help these people grow in understanding of Christ’s love and His Word?
4. Funding Attach an itemized budget for the total project. (See Excel attachment.) Identify all funding sources, potential or confirmed, including your own organization. List the funding source for each budget item.
5. Relationships – name and describe any ministry partnerships with applicant’s LCMS district, other local LCMS congregations, social ministry organizations or other agencies. Name City & State Involvement
If your application is approved, how will you publicly acknowledge that you received funding from LCMS?
Prepared by _____________________________________________________________ Name Title Date Additional Attachment A copy of the IRS letter indicating the organization’s 501 (C)(3) status and taxexempt number is required if the applicant is other than a congregation.
