New York Annual Conference

District Capital (Red Light) Grant Application

Part I (to be completed by church)

Church:______NYAC #______

District______Pastor______

Address______

Phone #______Church Email ______

Number of services per week ______Average Weekly Attendance (total) ______

Name / Title of Program Seeking Funding: ______

On separate pages, please answer the following questions:

  1. Describe your faith community and the community in which it is located.
  1. What has been the trend of your congregation’s statistics for the last 10 years?
  1. Explain the reasoningbehind the church's decision to implement this program
  1. Identify the Persons or Groups to be served by this program. How are you currently reaching these people? How many people do you intend to reach and how will you reach them?
  1. Purpose and goals of program (Provide as much detail as possible listing all relevant aspects of the program including day/time, number of people needed to operate the program, material resources required, location in/out of the church, equipment needed and/or any improvements to be made to the facility)

Amount of funds requested from Parish Development $______

Amount of funds from the local congregation to be invested in the program $ ______

Other funders: Please list the amount of funds from community groups or agencies (such as the UM City Society, Park Avenue United Methodist Church Trust Fund, General Church Grants, United Way, EFAP, HIPNAP, Food Bank, etc.)

Please list the name and amounts and whether or not it has been secured:

Name: $______

Name:$______

Name:$______

Provide a detailed budget of how Parish Development funds will be used. Also provide a narrative of how the funds will be utilized:

______

______

If this is a request for continuation of funds, please provide evidence of how previous funds were

expended. Please also describe the successes of the program and any areas that have been challenging: ______

______

______

By submitting this application, the church acknowledges that the final decision will be determined based upon the evidence of need / value as presented in said application, and the availability of funds. Further, the church also acknowledges that acceptance of this application and its accompanying funds are subject to quarterly review. The church agrees to provide evidence of the expenditures of said funds when notified by the Conference Office prior to the release of funds each quarter.

Submitted by:

______Date______

Pastor

______Date______

Administrative Council President

______Date______

Church Treasurer

______Date______

Board of Trustees Chair (for building funding requests)

Part II (to be filled out by the Pastor)

Church seeking funds is in compliance for the past five years with:

Apportionments Past and Current: ____ Yes ____ No: If not why not?

______

Pastor’s Benefits: ____ Yes ____ No: If not why not?

______

Parish Development Loans outstanding (if applicable) ____ Yes ____ No: If not, why not?

______

By signing and approving this application, I certify that the church seeking these funds to start / continue a ministry – mission program, has been deemed vital to making Disciples of Jesus Christ.

I am also assured that the funds given will not be used for any other purpose other than the program described herein.

Name: ______Date: ______

Pastor

Name: ______Date: ______

District Superintendent

Part III (to be filled out by District Committee of Parish Development)

Has church applying for funds been visited by Chair or member of the District Committee?

______Yes ____ No (If no, application will not be considered)

If yes, who visited church and when?

Name(s):______

Date: ______

Name of Church Representative met by Committee ______

Brief Description of the condition of the church and its facilities: ______

______

______

After visiting the church, examining its condition, and learning about the program, does the Committee believe this program should be funded? _____Yes _____ No

Explain reason for answer: ______

______

______

______

Submitted by:

Name / Title: ______

Date: ______

Part IV (to be filled out by the Dir. Congregational Development & Revitalization)

A written report is attached from the DCDR with narrative that provides documentation of the answers below

Church seeking funding is deemed a vital congregation based on the following criteria:

  • Is this an outwardly-focused ministry? ______
  • Are there any other outwardly-focused ministries? ______
  • Is this church engaged a “partner” in the community? ______
  • Is there a plan/is the congregation eager for engagement? ______
  • Has the congregation paid 100% apportionments? ______
  • Is there a plan/is the congregation eager to rise to 100%? ______
  • Does the DS support this ministry? ______

Recommendation: YES ______NO ______

Name: ______Date: ______

Part V (to be filled out by the Parish Development Committee)

Action taken by Committee - Approved____ Rejected____ Tabled_____

Amount of funds granted $______

Signed by ______Date ______

Title______

Note: Send completed application to your District Parish Development Chairperson

Part VI (to be approved by the Cabinet)

Based on your knowledge of this church, is there any additional information you can add in regards to its short-term and long-term viability in the greater community?

______

Approved: YES ______NO ______

Name: ______Date: ______

Information Required:

  1. [ ] Grant Assistant Worksheet (attached)
  2. [ ] MissionInsite Demographic Report (The QuickInsite Report)
  3. [ ] Financial Statements
  1. [ ] Profit & Loss (current fiscal year completed)
  2. [ ] Balance Sheet (current fiscal year completed)
  1. [ ] Budget (current & prior years)
  2. [ ] Financial Audit (most current fiscal year completed)**
  3. [ ] Estimates/Bids (three required for each project)

**The United Methodist Church Fund Balance Report is sufficient!

NOTE: Send completed application to your District Parish Development Chairperson

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