Youth and Family Grant Application

Note: For application final submission dates, click here.

NOTICE: Your application will NOT be accepted unless all questions are responded to or blanks in the Application are filled. You may use “N/A” (not applicable) if/as appropriate.

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We suggest that you download and print this application, carefully respond to the questions with precision and accurate information. Afterward, we recommend returning to complete the online application to ensure that the appropriate individuals review it. Thank you.

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Grant Application Information

Name of Center / CSL Ministry:*

Address, City, State, Country and Zip Code:*

Senior Minister’s (Spiritual Director’s) Name:*

Website:*

Ministers E-mail:*

Ministers Direct Cell number:*

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Grant Information

The legal name and location of this center, fully affiliated with CENTERS FOR SPIRITUAL LIVING, is.*

This center has been in continuing existence for the following number of years.*

The average Sunday attendance at this center is.*

The average monthly income of my center is.*

The average monthly expenses of my center is.*

The committee may request a YTD income and expense report.

Are you willing to submit if requested?:*

YES

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Describe the current Youth and Family program, including the various age programs, average attendance by age group, the number of adults involved (both volunteer and staff), and leader training requirements:*

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I am applying for a grant for the purpose of:*

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What is the total amount in dollars you are requesting?:*

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A detailed breakdown of the funds requested is as follows: (Explain specifically your need and how you will use these funds):*

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References:

Please include two or more references and letters of reference. Please include their contact phone numbers and email addresses. One of the letters should be from your Senior Minister or the Chair of the Board/Leadership Council. Have the references attached to the application:*

Drop files here or

Accepted file types: pdf, zip, doc, docx, jpg, Max. file size: 5 MB, Max. files: 6.

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Distribution:

Make check payable to:*

Send check to this address:*

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Matching Funds Information:

Are you prepared to accept a matching funds, proposal whereby you show proof you have acquired a partial sum of the grant requested, which triggers a matching amount from Hefferlin?:*

YES

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Personal Information:

Your Full Name (Person filling out the application):*

Address:*

City:*

State:*

Country:*

Zip:*

Your Position held at your Center:*

Direct Phone / Cell Number where you can be reached for questions?:*

E-mail:*

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Submission Declaration:

On submission of this form I hereby declare that each and every one of the statements and all information supplied by me in this application are true and correct. Date:*

By Entering Your Name below you consider this as your signature:*

NOTICE: All blanks must be filled (use "N/A" if the question is not applicable)..

NOTICE: If you want a record of the information you are submitting, print a copy of the CONFIRMATION that will appear after you click the submit button and the submission is completed.

Click on the Submit Button only one time. It takes a few minutes to submit this form.

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Consent:*

I consent to storage of my data according to Privacy Policy

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Grant Application Information

Grant Information

References:

Distribution:

Matching Funds Information:

Personal Information:

Submission Declaration:

Applications