Date______
Blue Water District Board of Missions & Church Extension/Finance Team
Grant Application for Churches*
Mail completed application to: DBOM & CE/Finance Team, c/o BWD Office
3061 Commerce Dr., Ste. 5, Ft. Gratiot, MI 48059
1. Name of Church: ______
Address: ______
______
Telephone: ______
Fax: ______E-Mail:______
2. Contact Person: ______
Address: ______
______
Telephone: (H) ______(W)______
Fax: ______E-Mail:______
3. Type of Grant Request? Please select one:
o 3:1 Challenge Grant o Technology Grant
o Special Program Grant o Continuing Program Grant
o Barrier Free Grant o Vital Church Initiative
o Extraordinary/Special Needs Grant o Church Development Grant
o District Youth Grant
4. Amount of Grant Request? $______
5. When do you expect to spend the funds? ______
6. How will this grant be used? (Add up to one additional page.) ______
______
______
7. Budget Information
a. Budget for the project or program related to the grant: $______
b. Funds currently on hand for this project/program: $______
c. Funds pledged: $ ______over ______months.
d. Bank loan negotiated: o YES o NO If Yes, Amount $ ______
Terms:______With Whom:______
e. Have any funds been spent for this project: o YES o NO
8. Total Annual Budget for the church’s current year: $______
For last year: $______
Church Information
1. Percentage of apportionments paid last year:
Conference______% District ______%
2. For Building Projects: How far along in the approval process are you? (select one) o First o Second o Third Church Conference.
3. Has this project been before the District Board of Church Location and Building?
o YES o NO Date approved: ______, 20_____
4. Are you a spotlight church? o YES o NO
5. Have any members of your church participated in a Volunteers in Mission (V.I.M.) project? o YES o NO
6. Where? ______
7. Have you participated in VCI? o YES o NO If yes, when? ______
8. Have you participated in ¶213? o YES o NO If yes, when? ______
9. Do you currently support a missionary? In what ways? ______
______
______
______
10. Do you currently support local, national, and global mission projects? Which ones and in what ways? ______
______
______
______
11. Does your church have a continuing mission education program? Please describe. ______
______
______
12. Is your Fund Balance Report (formerly Annual Audit) attached? o YES o NO
Pastor’s Signature: ______Date: ______
Applicant’s Signature: ______Date: ______
Title: ______
Blue Water District Board of Missions & Church Extension/Finance Team
Grant and Loan Payment Voucher Request
Date: ______, 20_____
PAYABLE TO:
(Name or church or organization)
Mailing address:
(Street or PO Box)
(City, State, Zip Code)
Amount Requested: $ Date Requested:
Purpose of Request:
Signature of Authorized Organization Representative:
______
______Title: ______
(Print name)
Dated: ______. 20_____
THIS AREA FOR OFFICE USE ONLY
Approved: ______, 20____ Amount: $
Funding Source: ______
Signature of Authorized Finance Team Representative:
______
PAYMENT(S) MADE:
Date / Bank Account / Check No. / Amount / Line Item PostedKeep this for your Records
Double Check Before You Submit Your Grant Application:
o NO funds have been expended for this project already.
o Fund Balance Report (formerly Annual Audit) from previous year completed & attached.
o Multiple bid summaries are included.
o Required signatures are on the application.
o The Grant & Loan Payment Voucher Request section is completed with signature (page 3).
*All grant applications are due to the district office two weeks prior to the District Board of Missions & Church Extension/Finance Team meeting.
Updated 9/16/2016 jg
BWD Finance Team Grant Application for Churches Page 3 of 4