George and Maja Adolfson Memorial Fund

George and Maja Adolfson Memorial Fund

Grant Request/Application Form

Our Mission

To benefit missions or individuals, local, national and international who are fiscally responsible and dedicated to advance the gospel and work of Jesus Christ as set out in the "Great Commission" of Matthew 28: 18, 19 and 20

Our Purpose

To continue the heritage demonstrated in the lives of George and Maja Adolfson to be good stewards of the resources the Lord has given the Adolfson family and set an example of generosity for future generations.

Grant Request/Application Form

The George and Maja Adolfson Memorial Fund (Fund) will support the following categories and areas of Ministry. Please indicate the type of ministry for which you are seeking this Grant.

_____Domestic Ministry: Includes the needs of North American churches, pastoral support, youth ministries, Seminary and Christian education.

_____Foreign Missions: Support for Bible translation, Christian support ministries to provide the Word to other nations.

_____Humanitarian Needs: such as elder care, food, shelter, parenting guidance, crisis assistance, rehabilitation and other life needs within a Christ centered context.

_____Outreach Activities: Preaching, prison ministries, street missions, mentoring, campus and other targeted Christian outreach programs.

Submit by U.S. Mail or via delivery to:

George and Maja Adolfson Memorial Fund

6701 West 23rd Street, P.O. Box 9377

Minneapolis, Minnesota55440

Grant applications are reviewed the first quarter of each calendar year, at which time a grant request is approved or declined.

Ministry Information

Applicant Organization (Legal Name): / ______
Doing Business As: / ______
Street Address: / ______
City/State/ZIP: / ______
Phone: / ______
Fax: / ______
E-mail: / ______
Web Site: / ______
IRS Name, as listed on 501(c)(3) letter: / ______
IRS Letter Date: / ______
Tax Exempt ID Number (EIN): / ______
Executive Director: / ______
Direct Phone: / ______
Ministry’s Budget:
Revenue: / ______
Expenses: / ______
Ministry’s Major Funding Source(s):
______
______
______
______
______
Previous Grant Recipient from our Fund?
[ ]Yes [ ]No [ ]Unknown If checked “Yes”, what year(s)? ______
Is there an Adolfson family member(s) who is aware of and/or supports the Ministry?
[ ] Yes [ ] No If checked “Yes”, Her/His Name(s)? ______
Provide the names, addresses and contact information of two non-family references who support the Ministry:
Name: / Name:
Address: / Address:
Phone: / Phone:
E-mail: / E-mail:

Specific Ministry Project/Program related to this Grant Application/Request:

Project/Program Title: / ______
Amount of this request: / ______
Total Budget for this Program/Project: / ______
Date funding decision is requested/needed: / ______
Program/project time period: / ______
Tell us about your Ministry. Is this a new or existing Ministry? What biblical foundation is the Ministry based upon? Who benefits from the Ministry? How has the Ministry been effective in advancing the work of Jesus Christ? (continue answer on separate sheet if necessary)
______
______
______
______
______
______
What do you plan on doing with the funds and how will it enhance and enlarge the Ministry? What unmet needs are being addressed with the grant monies? (continue answer on separate sheet if necessary)
______
______
______
______
______
How will we be able to confirm the appropriate stewardship of the monies?
______
______
______
______
Person to contact with questions: ______
Title: ______
Phone: ______
E-mail: ______

The undersigned hereby certify that the information contained in this Grant Request/Application is correct to the best of our knowledge.

By: ______Date: ______
Title: ______

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