Title of Project/Program:

Sponsoring Parish: Address: City/State/Zip:

Amount of Request: Name of Primary Contact:

Mailing Address:

Telephone numbers: (work or home) (cell)

Email address:

  1. What is the charitable, religious or educational issue that the proposal will address?
  • (no longer than two paragraphs)
  1. What is the grant amount you request? How will the grant funds be used to address the issue identified above, including target populations?
  • (no longer than two paragraphs)
  1. Who are the key project/program personnel and what role will each person play?
  1. How will you determine the impact of the funded project/program?
  • (just one paragraph)
  1. What is the implementation time line of the project or program?
  1. Include a project/program budget and budget narrative. (A “Sample Program Budget” is attached to this document.)
  • (one page, or less)
  1. How will the applicant church support the project/program either monetarily (with matching funds) or otherwise (with in-kind volunteerism, etc.)?
  • (no longer than a paragraph)
  1. How will this project help your congregation grow (literally in numbers, and/or spiritually in ministry/mission by placing your congregation into action, inside and/or outside your faith community?)
  • (no longer than two paragraphs)
  1. Each application must be accompanied by a letter of support from the sponsoring, Episcopal-entity governing board (church Vestry), which is a written affirmation by one or more officers of that board that the entity approves the application and makes provision for the support described in the application.
  • (attach a signed letter from the Vestry)
  1. Include the most current financial statement of the applicant (church) including both a statement of revenue and expenses for the year-to-date and a balance sheet for the month ending prior to the application date.(If you have submitted a grant application to the Foundation within one year of the date you are submitting this request, and parish financials were part of that application, then it is unnecessary to submit financials for this short form application.)
  • (attach parish balance sheet and parish budget-to-actual, if necessary.)

Which of these has your parish engaged in during the past 18 months?

"X" on each line if applicable

1. _____Conducted ministry review of/by clergy/vestry/congregation

2. _____Obtained or studieda demographic profile of our ministry area Percept Profile)

3. _____Created or reviseda comprehensive parish profile (the kind produced in a clergy

search or a major strategic planning process)

4. _____Obtainedan audit of our books

5. _____Conducteda stewardship program

6. _____Developeda planned giving program

7. _____Conducted a special Vestry day or weekend retreat focused on team-building,

planning, or spiritual growth

8. _____Sentstaff or parishioners for Anti-Racism training

9. _____Sentstaff or parishioners for Safeguarding God's Children training

10. _____Createda Safe Parish policy

11. _____Engagedin an intentional partner relationship with another congregation

12. _____Appliedfor a grant (from the Foundation or elsewhere) to help start or expand a

ministry

Please answer the following questions with either “Yes” or “No”

1. Is the Congregationcurrent with its filing of theAnnual Parochial Report? ______

2. Is the congregation current with its filing of the annual audit? ______

3. Is the congregation current with its annual assessment? ______

4. Are all stipendiary Clergy compensated at or above the Diocesan minimum? ______

Thank you for completing your Foundation for the Episcopal Diocese of Wyoming Grant Application. You may email it to Press Stephens at or Genie Easton at

Sample Program Budget

Granting from The Foundation for the Episcopal Diocese of Wyoming (FEDW)

Income

FEDW Grant$

Other Grants

Fee for Service

Fundraising

Congregation’s Contribution

From annual Budget

From other sources

Other income

Total Program Income =$

Expenses

Personnel$

Communication

Training

Insurance

Printing/duplicating

Supplies

Materials

Transportation

Rent

Other expense (provide detail)

Total Program Expense =$

Any necessary budget narrative (optional):

1