Phase Two Distribution Application

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* 1. Church Name and Address:

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* 3. Amount requested:

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* 4. Today's Date:

Date

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* 5. Pastor's Contact Information:

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

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* 7. Community Partners:

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* 8. Additional partner information (if applicable):

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* 9. Provide a budget or spending plan:

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* 10. What percent can you match of the requested amount?

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i We adjusted the number you entered based on the slider’s scale.

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* 11. Guiding Scriptures (for congregational use):

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* 12. The first step in the application process is watching the previously offered series of learning experiences addressing:
  1. Dr. Soong-Chan Rah, author, theologian and practitioner on the topic of Decolonizing Mission, Thursday, Nov 5 from 6 p.m. to 8 p.m. PST – WATCH HERE
  2. Maria-José (Coté) Soerens, pastor, innovator and community activist on the topic of Community Engagement and Community Development, Tuesday, Nov 10 from 6 p.m. to 8 p.m. PST – WATCH HERE
  3. Jonathan Wilson-Hartgrove, author, activist and practitioner on the topic of Cultural Humility, Thursday, Nov 12 from 6 p.m. to 8 p.m. PST – WATCH HERE
Please select all of the answers below that apply to your grant application team. 

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* 13. Project Description:
a.       Who, what, where, when, what will happen?
b.       What stories will you hope to tell/have told once the funding has been disbursed?
c.       What data will help you to know that the project is successful?

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* 14. What practices will you put in place to ensure that your ministry is born of an equity mindset (new narrative) as opposed to a colonizing mindset (historic narrative)?

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* 15. With whom will you seek/have you sought relationship in developing this ministry?

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* 16. How will you foster a safe and brave space where authentic and full relationships can multiply?

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* 17. How might the answers to the questions above alter your systems of accountability? To whom, and to what are you accountable?

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* 18. What do you hope will happen to the congregation as a result of this project?

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* 19. What else needs to be said about this request?

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* 20. By requesting funds, you agree to distribute to vulnerable families in the manner listed above and to submit documentation of such to the PNW Treasurer as requested. Note:The IRS considers gift cards equivalent to cash and cannot be distributed to staff or staff families without tax liability.

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