Outreach Grant Application

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

Grant applications are considered each Spring (March, April, and May).

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)*