CHRIST EPISCOPAL CHURCH GRANT REQUEST FORM
GRANT REQUEST FORM INSTRUCTIONS:
Ø APPLICATION MUST BE RECEIVED ON OR BEFORE 15th OF THE MONTH.
Ø COMPLETE 3 PAGE APPLICATION IN WORD.DOC FORMAT OR HANDWRITTEN IS
Ø SUBMIT APPLICATION TO:
• Christ Episcopal Church, P.O. Box 1718, Cody, WY 82414
• E-Mail to email@example.com – to email must attach grant request in word.doc
format to this address.
The Mission Committee of Christ Church considers all grants. The parish vestry must then approve
the Committee’s recommendation. It generally takes one to two months to consider and approve a
request. Checks will be made payable to a non-profit organization, agency or church.
To be completed by Christ Church
MISSION COMMITTEE APPROVALYes No Date ____________Amount____________
VESTRY APPROVAL: Yes No Date_______________________________
Non-Profit Organization: _______________________ ________Tax ID #: __________________
Contact Person: _______________________________ Occupation: _______________________
Home Phone: _________________________________ Work phone: ______________________
Amount of Request: ___________________________ Date of Request: _______________
BRIEF paragraph summarizing project:, please use the space provided
Date of Project::
1. In detail, describe the project. Include the following:
a. The need for the project.
b. How the project will meet the identified need
c. Please explain the methodology of the project (the detailed steps of the project that
will help meet the need).
2. Provide an outline of your proposed budget for this particular project. Quotes or
estimates for the project are appreciated. Please include and note the specific expense
item(s) you are requesting funds for.
3. Identify the people or target group your project is serving and how this project will enable
your organization to serve your particular community or ministry
4. Please indicate other funding sources and whether the funds are secured or are pending.
If funding is from a private individual, there is no need to include person’s name, just
indicate them as private individual.