1

For Office Use
Project #
Date / Item
/ / / Application Rec’d
/ / / Onsite by ______
$ / $$ Approved
/ / / Contract Rec’d
/ / / Project Report Rec’d
Notes / Changes:

GRANT APPLICATION FORM 2016-2017

COOPERATIVE PARISH SHARING

ARCHDIOCESE OF HARTFORD

81 SALTONSTALL AVENUE

NEW HAVEN, CT 06513

PHONE (203) 777-7279 *** FAX (203) 776-3233

*** EMAIL ***

All questions must be answered.
Complete each item and mail, fax or e-mail by

December 1, 2015(see info above)

[Note: There is a different application for HomeFront Projects.]

Parish Name
Address / City/Town
Pastor’s Name / Pastor’s Phone
Contact Person (for
Onsite Interview) / Contact
Phone
Email address for contact person
Type of Project (check) /  Parish Social Ministry
 Catholic School Special Project
Amount Requested * / $ / *See Instructions page 2: Maximum Grant Total per parish is $15,000.
Prior Funding from CPS received for this purpose /  Yes  No / If yes,
Amount & Year / $
Year
Collaborators (if any):
(Parish Name(s),
Archdiocesan Agency,
Catholic Charities,
Other)

Project Name:  New Project  Continuing Project

PART I: ACTION PLAN

Please answer the following questions as completely as possible.

  1. Please describe your project.

2. List the projects goals and please be specific.

a.

b.

c.

  1. List the ways you will measure the success of these goals. (Common ways to measure success of projects are surveys, testimonials, pre and post school testing). If you receive funding from CPS, a project report will be required at the end of the grant year.
  1. Complete Attachment A: Principles of Catholic Social Teaching Worksheet. This is a required part of the application. The CPS Committee will use these principles of Catholic Social Teaching in evaluating your grant proposal as to how social justice needs are met by the project. Please select 2-3 of the most relevant items checked on the worksheet and elaborate below to explain how each area will be addressed in your project.

a.

b.

c.

  1. How did you determine the need for this project in your parish and/or community? (Whom did you consult, what have you observed, what prior experience have you had with this need?)
  1. How many people in your parish and/or community will directly benefit from this project? Explain how you arrived at this number.
  1. Please describe in detail the action steps you will takeof your project, and thetimeline for each step. Be as specific as possible.

Action Steps / Start/Completion Dates
  1. Who will do the work? What skills and experience do they bring? How will training be provided, if needed? Please be specific.

Please check off the following:

Yes, I understand and verify that:

  • Anyone working with children will need to undergo VIRTUS training.
  • All supervisory and/or consulting contractors must be licensed by the state and be insured.

PART II: TELL US ABOUT YOUR FUNDING NEEDS

Please use the attached budget form to clearly state ALL expected expenses, all sources of income, the amount requested from CPS, and Parish in-kind support for your project. Refer to the sample budget for help with completing this form. You may also contact Lynn Campbell, Executive Director in the OCSJM office (203-777-7279) or additional assistance.

PART III: APPROVAL OF APPLICATION

All Cooperative Parish Sharing Grants must be signed by the Pastor of the Parish applying for funding. Unsigned applications will be returned.

Please check the following:

Yes, I understand and acknowledge that:

  • Funds granted by CPS may be spent only for the purpose the grant was awarded.
  • New budget categories may be added only with permission from the OCSJM Executive Director.
  • Unspent CPS funds must be returned.
  • I have reviewed and given my approval for this grant application.

Pastor’s Signature______Date______

Cooperative Parish Sharing 2016-2017

Budget Form

Parish Name:

City/Town:

Project Name:

  • No funds granted by CPS can be spent for any purpose other than that for which the grant was made.
  • Unspent CPS funds must be returned.

.

NOTES / EXPENSE
EXPENSES
Personnel costs: stipends/salaries / xxxxxxxxx
(List individuals or positions) / xxxxxxxxx
xxxxxxxxx
Activity costs: / xxxxxxxxx
Material and equipment / xxxxxxxxx
travel/fees & charges / xxxxxxxxx
Support costs: food/incidentals / xxxxxxxxx
Other costs: please specify: / xxxxxxxxx
xxxxxxxxx
xxxxxxxxx
TOTAL EXPENSES
NOTES / INCOME
INCOME
Tuition/fees/charges / xxxxxxxxx
Fundraising (please describe): / xxxxxxxxx
Parish monetary support / xxxxxxxxx
Other income (please describe): / xxxxxxxxx
xxxxxxxxx
xxxxxxxxx
xxxxxxxxx
TOTAL INCOME
CPS GRANT REQUEST (TOTAL EXPENSES MINUS INCOME)

Cooperative Parish Sharing 2016-2017

Parish Name:

City/Town:

Project Name:

PLEASE LIST IN-KIND SUPPORT THAT THE PARISH WILL PROVIDE.

NO FINANCIAL AMOUNT IS REQUIRED

TYPE OF SUPPORT / DESCRIPTION
Facility
Utilities
Materials/supplies
Volunteers
Advertising
Donation of food
Pro-bono professional services
Other

Cooperative Parish Sharing 2016-2017

ATTACHMENT A: Principles of Catholic Social Teaching Worksheet

Parish Name:

City/Town:

Project Name:

Please check off all areas of social justice that your project will address:

Life and Dignity of the Human Person
Develop self worth
Develop leadership skills
Educate and promote about treating others with fairness
Promote equality of individuals, respecting their differences
Protecting and enhancing all stages of life
Educate spiritually and academically
Promote and practice fair conflict resolution
Promote pride in cultural heritage
Educate about life skills
Educate about social justice issues
Promote values that emphasize the inherent worth of each individual
Call to Family, Community, and Participation
Create/develop community
Develop healthy marriage and family life
Helping our neighbors: errands, yard cleanup, meals, etc.
Develop practices to keep families together
Provide a safe multicultural environment
Provide fellowship
Provide spiritual formation
Promote team work
Develop interpersonal relationship skills
Promote unity within the parish, community and multiculturalism
Strengthen ties within the faith community
Provide intergenerational programs
Promote ecumenical initiatives
Rights and Responsibilities
Educate and empower people
Advocate for the rights and needs of the disadvantaged, ie. Food, clothing, shelter
Promote access to services, including social, medical, and legal
Provide tutorial and summer school programs
Promote and teach the value of serving the greater community
Sponsor volunteer projects in youth ministry
Option for the Poor and Vulnerable
Develop awareness and understanding of the poor and vulnerable
Provide food for the hungry
Shelter the homeless
Provide assistance to those in need
Take action to correct injustices
Engage in advocacy issues that will benefit the poor and vulnerable
Promote programs to assist the young and elderly
Support programs that promote equal access to quality health care
Dignity of Work and Rights of Workers
Educate about life skills
Advocate for rights and needs of the disadvantaged
Provide job training
Sponsor volunteer projects in youth ministry
Educate and promote the dignity of work for all laborers
Educate and promote fair trade
Advocate for a living and just wage
Educate about socially responsible manufacturing of food and goods
Solidarity
Develop community among groups and individuals
Promote respect for all person’s basic rights that flow from each person’s inherit dignity
Promote spiritual solidarity
Build inclusive communities
Promote equality amongst all peoples
Educate about solidarity having global dimensions in an interdependent world
Promote and educate the understanding of different cultures
Develop programs that promote peace in our communities and beyond
Care for God’s Creation
Provide education about being good environmental stewards
Promote/provide activities that are environmentally responsible
Support legislation that provides for good environmental stewardship
Promote community gardens
Promote and participate in recycling
Promote energy audits
Educate and promote public transportation, bicycling, walking