Phase One Distribution Application

Question Title

* 1. Church name and address:

Question Title

* 2. Missional District:

Question Title

* 3. Amount requested:

Question Title

* 4. Pastor's Contact Information:

Question Title

* 5. Applicant's Contact Information, if different:

Question Title

* 6. We have identified the vulnerable group(s) and immediate needs in our context to be:

Question Title

* 7. We have identified the following community partner(s):

Question Title

* 8. Additional partner information (if applicable):

Question Title

* 9. We can match ___% of the requested amount.

0% 50% 100%
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. Distribution methods (number of gift cards and amount per card; commodities; other). Please be specific.

Question Title

* 11. By requesting funds, you agree to distribute to vulnerable families in the manner listed above and to submit documentation to your district superintendent. Note that the IRS considers gift cards equivalent to cash and cannot be distributed to staff or staff families without tax liability.

0 of 11 answered
 

T