Outreach Grant Application

Please be sure to read the Grant Guidelines before filling out this form.

Grant deadlines are August 31 (for consideration in September) and February 28 (for consideration in March).

Name of Organization*

Organization website (or FaceBook page)

Contact Name*

First

Last

Organization Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone*

Amount Requested ($)*

Funds are to be used for (check one)*

General Operating

Specific Project

Project Name:

Please give us a brief answer to the following questions:

1. What is the organization's mission and major activities? Where are programs/activities conducted?

2. If this request is for funding a specific project or activity, how will these grant funds be used? Briefly describe the specific need, the program/project goals and budget, who/how many individuals will be served, and how they will benefit.

3. Is there an opportunity for a site visit or volunteer opportunities? If yes, please explain.

4. Has this organization or program/project received a Heights Christian Church Outreach Grant before?

Yes

Please include any supporting documents (annual report or other organizational literature). Maximum file size: 2MB

Organizational Contact Signature (entering your name indicates that you have authority to apply for this grant from your organization)*