Grant Application — Friends of Sacred Structures

Friends of Sacred Structures

Elmer Denis Memorial Grant Fund Application

Please complete the form below

Contact Information

Date of Request

YYYY

Full Legal Organization Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pastor/ Executive Director

First Name

Last Name

Title

Phone

(###)

###

####

Contact Person (if different)

First Name

Last Name

Title of Contact Person

Phone 1

(###)

###

####

Email 1

Organization Information

501(c)3)?

Yes

Year Established

Name of Building Owner (if not the organization)

Age of Building

Original Purpose of Building

Congregation Size in 2016

Congregation Size - Present Day

Proposal Request

Program / Project Name

Total Project Budget

Requested Amount

Project Start Date

YYYY

Project End Date

YYYY

Please provide a brief description of the project :

Is this project removing a hazard that is an immediate threat to public health or safety?

Who will benefit from this project? How will they benefit?

What type of community services does your organization provide?

On average, how many people receive these services on a weekly basis?

Who is supplying the labor for this project? Who is supplying the materials?

Since this is a matching grant, how will you fund the balance needed to complete the project: cash or in-kind materials/labor? Please explain.

If this grant is approved, when will your organization need the funds?