City: Date: (mm/dd/yy)

Name of Congregation:

Name of person requesting grant:

Phone: Email address:

Amount requested: Date of vestry review: (mm/dd/yy)

Requested Diocesan Fair Share: Pledged Diocesan Fair Share:

Sr./Jr. Warden's Name:

Please answer the following questions in the spaces provided. Double-space between paragraphs. Your answer may be longer than the space. Just keep typing..

1. Briefly describe the purpose of the grant. If available, please cite actual specifications such as names, dates, etc.

2. How will this grant contribute to congregational development/enrichment? How will this be communicated to the congregation? Who is involved? How many people from the congregation are involved in the project? What results do you expect?

3. What is the total cost of this project? $ . If greater than the amount requested above, please list your other sources and actual or anticipated amounts.

4. Is this grant intended to support or enlarge an existing project? If so, please use the space below to explain why the grant is needed.