/ 2015 Lutheran Grant Program
Grant Application
Requestor Information
Full name of requestor (Lutheran organization) / Employee Identification Number (EIN)
Contact person/Project director / E-mail address of contact person
Phone / Fax / Web site address
Mailing address / City / State / ZIP code
Street address check if same as above / City / State / ZIP code
Church Body Affiliation / Annual operating budget
$
Organization Information
Briefly summarize your organization’s history, including the date your organization was established and your mission and goals.
Briefly describe your organization’s current programs or activities, including any service statistics, strengths or accomplishments and how they align with your current mission and goals.
Describe your organization’s “resource engine”… how does your organization generate the funding and other resources needed to sustain delivery of your organization’s mission and goals?
People resources – list the number of board members, full-time staff, part-time staff and volunteers
Project Information
Project title / Type (funding preference higher for challenge requests)
☐Challenge Grant (matching funds) ☐Conventional Grant
$
Project start date / Project end date(max. 2 years) / Grant requested / Total Project Cost
$ / $
Describe the project.
How will this project help your organization and/or those it servesbecome more financially secure and sustainable?

24873 R1-121

Are there any other organizations involved in this project? If so, what is their specific role?

Project Goals – List one to five clear, concise measurable outputs (results or products) of your project.
Missional Outputs: (if applicable)
Capacity/Resources Outputs:
Describe the evaluation method for each of the above project goals?
Acknowledgement: How will you acknowledge the grant to your constituencies?
Action/BusinessPlan: Chronologically list the high-level action steps and decision points pivotal to completing the project.
Outline the actions–decisions and the corresponding timeline in the table below.
Target Dates
Start date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
End date

24873 R1-121

Project Budget (Estimated Income and Expenses)
Provide an itemized list of funding sources with the amount expected from each source and anticipated project expenses. Requesting organization is expected to contribute a minimum of 25% of estimated project expenses. If there are in-kind expenses, please include those below. Note: In-kind expenses will not be considered as part of the organization’s monetary contribution toward the project expenses.
All Sources or Project Income/Revenue
/ Estimated Income
Year 1 / Estimated Income
Year 2
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
Yearly total estimated project income / $ / $
Grand total estimated project income
(This amt must equal total project expense.)
Project Expense Description / Estimated Expense
Year 1 / Estimated Expense
Year 2
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
Yearly total estimated project expense / $ / $
Grand total estimated project expense
(This amt must equal total project income)
In-Kind Support (Not be considered as part of the requestor organization’s monetary contribution to fund this project.
$ / $
$ / $
$ / $
Project Budget Narrative: Describe what the grant will fund in the budget and provide income and expense line-item explanations.

24873 R1-121

Send an electronic copy of this completed application along with electronic copies of the other required enclosures to . Required enclosures include:
Financial Information
  • The organization’s most recent financial statement, audited if available including a balance sheet, statement of activities (income statement) and cash flow statement.
  • Organizational budget for current year indicating actual to budget analysis.
Missional Information
  • Any strategic planning documentation.
  • List of board members and their affiliations
  • Brief description of key staff and qualifications.

Terms and Conditions: The purpose of this section is to outline mutually agreed upon terms and expectations of Thrivent Financial for Lutherans Foundation in order to extend a grant. It should be understood that this information is not exhaustive in its terms. Other issues may be required and further discussions may expand the scope of the terms.
  • Foundation will request and Grantee will provide a written report each year of the grant period to inform the Foundation of Grantee’s use of the funds and status toward objectives.
  • A communication plan may be jointly developed by your organization and Thrivent Financial for Lutheran Foundation. In addition, the Foundation does need to approve any use of its name or logo. To request permission for logo use, please visit Logo Use Policy.
  • The Foundation may request photos of your project. Applicable releases would be required from the grantee organization.
By accepting a grant, you are agreeing to the terms and conditions listed above and are authorizingThrivent Financial for Lutherans Foundation to use any and all project information for the purpose of sharing information to support the charitable mission of the Foundation. This includes the following:
  • Encouraging other organizations to start such projects
  • Providing examples of good projects
  • Showing the impact the project had on the Lutheran Community

24873 R1-121