IPH Foundation Grant Application Contact Information
Title First Name Last Name
Mailing Address City
State Zip Code Phone Number Cell Phone Number AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Email Address Which IPHC Conference are you or your church a member of? Conference Alpha Appalachian Colorado Cornerstone Ephesians Four Nwk Georgia Golden West Grace Bible Great Plains Heartland Home Missions Harvest Hawaii/Pacific Is Korean Mid-Atlantic Mid-South Mississippi New Horizons Min North Carolina Northwest Latin Pacific Western Pennsylvania Redemption Min Sonshine South Carolina Tennessee Valley Texas Latin Upper South Carolina West Coast Hispanic
Yes, I am willing to provide monthly and or quarterly updates on the status of my project and participate in communications with the Grant Committee.
Home Church Information
Church Affiliation IPHC Church IPHC Ministry IPHC Affiliate IPHC School IPHC School of Ministry Independent Church
Church Name
Senior Pastor
Church Address City
State Zip Code Work Email Address
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Project Sponsorship Do you currently have other sponsoring organizations to support this project? Yes No
Sponsoring Organization Name
Address City
State Zip Code AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Sponsoring Organization Affiliation IPHC Church IPHC Ministry IPHC Affiliate Assembly of God Independent Church Church of God Foursquare Church Nazarene Other
Please Select One of the Following Categories: Project Leader is in a Leadership Role at an IPHC Church but not a licensed or ordained minister
Project Leader is an Ordained IPHC leader.
Project Leader is a Licensed IPHC leader
Project Leader is Licensed or Ordained with another Denomination
Project Information Please provide a name for the project:
Project Funding Term
Will you be seeking a one time grant or sequential grants?
One Time Grant Sequential Grant
Funding Term in Months Requested Funding Start Date: 01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
1 2 3 4 5 6 9 12 18 24 36" Requested Funding End Date: 01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Multi-Year Projects
Projects of more than one year will be considered where there is a significant and pressing need for ministry. However, funding will not exceed three years. Please explain how your project will use multiple year funding. (Respond only if multi-year)
If a Strategic Plan has been formulated please include the plan with application
Project Description
Please describe, in detail, which goals you expect to meet in your project. Your response is limited to 250 words.
Project Focus
Please select the category that BEST describes your project:
Education
Missions
Church Planting
Special Church Projects
Evangelism Results
How many people are projected to follow Jesus Christ as a result of the Foundation funding this project? Please provide the number of decisions expected for the total project as well as the number of decisions per year if a multi-year project is chosen.
How many decisions for Christ did your ministry have last year?
How many Expected decisions do you project with Foundation Funding?
Year One Year Two Year Three
Total:
Follow-up and Discipleship
Which steps will be implemented to follow-up and discipleship the individuals who become new believers as a result of Foundation support? In addition, please identify churches and/or organizations which will partner in the discipleship effort.
Financial Manager Information
Title First and Last Name
Church they attend
Phone Cell Phone
Email Address
The above individual has agreed to this plan and will be available to give an account of Project Funding.
The above individual will submit a financial report of the project no later than December 1st of funded year.
Please describe how this individual will provide accountability for the Project Leader in the area of finance.
The International Pentecostal Holiness Foundation provides grants that are a maximum of 50% of a project budget. If you are seeking a one time grant, complete only the Total Project Cost and Total Dollars Requested.
Project Cost by Year
Total Project Cost
Project Request
Indicate the amount of funding requested from the International Pentecostal Holiness Foundation by year.
Total Dollars Requested
Matching Funds:
Please list other sources (matching funds) of financial support (e.g., other foundation grants, local sponsoring church, individual donations) for this project and indicate the amount of support expected from each source.
Organization Amount
Project Budget
The IPH Foundation will not provide funding for the following: General staff salaries (exception to new church plants), General operations, debt management.
Revenues International Pentecostal Holiness Foundation Grant being requested $
Other Revenues for the project $
Total Revenue for the project $
Project Budget Detail
Project Expenses
Item Cost Detail
$
Total Project Expenses: $
Documentation
If your application is selected for receiving a grant, you will be contacted to submit the following documentation listed below. Please DO NOT send this documentation until you have been notified about the status of the grant.
Additionally, if your application is selected for grant funding, you will be asked to participate in a quarterly follow-up conference call with the IPH Foundation to provide ongoing updates on your project’s progress.
Please indicated below what documentation you currently have for this project (YES, NO, or IN-PROGRESS).
Church, Ministry or Organization Balance Sheet Please Select Yes No In Progress
Endorsement Letter from International Pentecostal Holiness Conference Office Please Select Yes No In Progress
Endorsement Letter from International Pentecostal Holiness Pastor Please Select Yes No In Progress
Endorsement Letter from Sponsoring Organizations Please Select Yes No In Progress
501(c) 3 Status Please Select Yes No In Progress
A list of the board of directors and officers (address and phone) of the ministry applying for the grant
Please Select Yes No In Progress
Additional Comments:
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