CONFERENCE BOARD OF GLOBAL MINISTRIES MISSION SUPPORT GRANT APPLICATION

Mission of Western Pennsylvania Conference Board of Global Ministries:

To provide leadership, connection, and resources to make disciples of Jesus Christ for the transformation of the world.

All applications must be returned by October 10th (preferably by e-mail) to:

1204 Freedom Rd

P.O. Box 5002

Cranberry Twp, PA 16066

or

PLEASE NOTE THE FOLLOWING FOR APPLICATION CONSIDERATION:

  1. The entire application must be submitted as a whole by either e-mail or Postal mail. Please do not e-mail portions and mail other portions.
  1. We will only consider one application for funds from the umbrella organization and
    not for each ministry within it.

3. It is essential that ALL REQUESTED INFORMATION BE PROVIDED BY THE APPLICATION DEADLINE.

Failure to do so will result in the application not being considered.

Please use the check list below to assure you have all the required documents before sending. Thank you

Attached: Names and Addresses of Board of Directors/Steering Committee of the program

Full Itemized Budget

Copy of Audit and Chairperson signature

Copies of all Clearances and Safe Sanctuary Statement from Pastor

Reports (4 = 1 Director, 1 Staff member, 1 Board Member , 1 Client/other)

Evaluation Form

District Superintendent Endorsement/Comments Sheet

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MISSION SUPPORT APPLICATION

SECTION 1: APPLICATION DEMOGRAPHICS

Please check one from each section:

  1. New (First time request)

Continued Support

B. Local Church Mission Church Outreach Program, Local Church

Mission PersonnelCooperative Parish/Ministry Ecumenical Ministry

Other: ______

Ministry/Program Name: ______

Sponsoring Agency Name:______

Address: ______City:______State:____ Zip:______

Phone: ______Fax: ______

Contact Information:

Contact Person: ______Title:______

Phone #:______Email:______

SECTION TWO: SUPPORT GRANT HISTORY (if you are a first time requestee please skip this section)

How many years have you recieved Support from Mission Support Grants? ______

Year ______Funds Requested $______Grant Allocation $______

Please provide a brief status update for the above funded program: ______

Year ______Funds Requested $______Grant Allocation $______

Please provide a brief status update for the above funded program: ______

Year ______Funds Requested $______Grant Allocation $______

Please provide a brief status update for the above funded program: ______

SECTION THREE: GRANT PROPOSAL

  1. Date the program/ministry was (or will be established) ______
  1. To implement the program or project, will the staff be:

Paid Professional Volunteer(s) Both

  1. Describe the program or project for which the grant is requested. Include goals, objectives, area of need it addresses, and how it furthers the mission of the United Methodist Church. Be Specific!
  1. Mission/Vision Statement: Prepare a One Paragraph ONLY synopsis of the program/agency that is being funded to include what your program does and who it serves.
  1. Describe how you will plan to evaluate the ministry and in what ways will the participants of the ministry be involved in the evaluation process. Attach a separate sheet.

SECTION FOUR: AUDIT

  1. Total amount/cost of proposed project: $______
  1. Total amount being requested from Mission Support Funds: $______
  1. What percentage of the total proposed budget is this request? ______Percent
  1. Total local church support for the year-to-date?
  1. Number of churches ______Amount Contributed ______
  1. Total amount recieved from Advanced Specials year-to-date? ______
  1. List Sources from which you have requested other funding for this project/program and if you have been notified of your acceptance or rejection.
  2. United Methodist Sources
  1. Community Sources
  1. Other Sources
  1. Matching funds contingent on receiving grants
  1. Describe in detail how you will use the money from the grant.
  1. Indicate your timeline for the use of the grant monies. Funds must be expended within 1 year of receipt.
  1. What would happen if you do not receive this grant? (Be Specific regarding staff, program, etc)

Please attach a full itemized budget for the program/project for which you are requesting a grant. (Include the total budget, not just how the requested funds will be used.

If you received funds last year, you MUST complete an audit. Please attach a copy of the last years audit statement for your ministry/local church.

Signatures:

Chairperson of Governing Board Signature: ______Date: ______

Director or Pastor signature: ______Date: ______

SECTION FIVE: DISTRICT SUPERINTENDENT ENDORSEMENT/COMMENTS

(Please attach a copy of the completed first page of the mission support application to this sheet)

Ministry/Program Name: ______

Comments by District Superintendent:

District Superintendent Signature: ______Date: ______

SECTION SIX: REPORTS (Please limit remarks to one page, double spaced)

  1. Directors Report:
  2. Status and health of the Ministry/program
  3. Please provide us with the following statistics:
  4. How many you served
  5. percentage of population in target group you reach
  6. number of paid staff, number of volunteers, number of volunteer hours donated

c. Need(s) for the program, needs of the program

d. Vision for the future of the program

e. Any other information you feel would be important for us to know.

B. Staff Member Report: 250 words or less double spaced

  1. How is (will) the love of God be shared through your ministry?
  2. What are your hopes, goals and/or actions plans for your ministry in the future?
  3. Please share a success story

C.Board Member Report: 250 words or less double spaced

  1. How is (will) the love of God be shared through your ministry?
  2. What are your hopes, goals and/or actions plans for your ministry in the future?
  3. Please share a success story

D. Client/Participant Report: 250 words or less double spaced

  1. How was (is) the love of God be shared with you through this ministry?
  2. What is your involvement in this ministry in the future likely to be?
  3. Please share a specific way that you or your situation have changed as a result of participating with this ministry.

SECTION SEVEN: CLEARANCES

All programs working with children or youth must show evidence of staff having Act 34, Criminal Background and Act 151 Child Abuse history clearances. Churches supporting such programs in their church must show evidence of adherence to Safe Sanctuaryies Policies. NOTE: Grants may be denied if this section is not filled out. If you have several persons that are volunteering, copies of a few clearances with a statement that the rest are on file will be sufficient. You may blot out SS numbers. A statement from the pastor about adhearance to Safe Sanctuaries Policies and how this is implement in your church is sufficient.

SECTION EIGHT: NAMES AND ADDRESSES

Please attach a list of names and addresses of the Board of Directors and/or Steering committee of the program as a separate page.