Create Grant Form

Grants are given only to a sponsoring 501(c)3 Church or Agency, not directly to individuals who may be a beneficiary of this grant. DEADLINE: Online Applications should be submitted by Jan 30th for consideration at the February Board meeting, or July 14th for consideration at the August Board meeting; late applications will not be considered. You will be notified shortly after the Board Meeting regarding the status of your application. All areas must be completed to successfully submit this form, with the exception of areas A through E, which address the type of grant you are requesting. If you have questions about this application process, you may email the Grants Chairperson, John Hull. (Because electronic "interruptions" do occur, it is suggested that you type the long narratives into a word processor, save them, then paste them into this form.) Items denoted with a red * are required fields.

Title of Application (Usually contains Group or Church Name and Beneficiary, i.e. Some Church for John Doe:: *

Federal ID: *

Full Name*: *

eg. John Quinton Doe

Your Title: *

Mr.

Mrs.

Ms.

Your Position at the Agency: *

eg. CEO, Administrator of Public Outreach....

Organization Address: *

Organization City, State Zip: *

Work Phone: *

Home Phone: *

Fax:

Email: *

A confirmation will be sent to this address once your grant is submitted.

Church or Agency Website:

Amount You are Requesting: *

Type of Application you are making: *

Crisis Intervention

Youth Development

Limited Educational Assistance

Briefly describe the Church or Agency which is applying for this grant, explaining your mission and those you serve:: *

Share with us the problem your grant seeks to address and the solution you envision with the help of our funds.:: *

For a Crisis Intervention or Youth Development grant fill out A & B, then skip to 'For All Grants' at the bottom:

A. Share how you will evaluate whether your project has been successful and how you will report, to us, the use of our funds. :

B. Share how you will continue to fund this project once the startup funds which we provide are exhausted. :

For an Educational Assistance grant fill out C, D & E, then continue with 'For All Grants' at the bottom:

C. Share briefly the background and need of each student for whom you seek assistance.:

D. What other assistance will the student(s) receive?:

E. Share how you will report back to LLH the student(s) progress and benefit from the funds we provide.:

For ALL Grants: *

For the above field: Summarize the budget for this project, listing specific dollar amounts, including any other groups or contributing agencies and specifying the use of funds you seek from Lifeline Homes. Grants are typically $200 to $2000 per agency. If you are not sure what items Lifeline will fund, read again the grant information which will open in a separate window. Then close the window and complete your grant request.

I have read, and understand the following paragraph:

When you have completed the entire form you must answer the 'Math Question' below to ensure that this is a legitimate submission. After that, you may click PREVIEW button below and print a copy of your submission, then you may click SAVE to submit your grant proposal. Following this, you will be taken to the Agreement page. If for some reason you are unable to print the Agreement, you may always come back to the website and use the Agreement tab in the top navigation to access the page. Please Read, then PRINT the agreement page, sign it in blue ink and mail it to the address listed on the page. No grant will be considered unless a signed copy of the AGREEMENT page is postmarked by the grant applications deadline of Jan 31st or July 15th. Two letters of reference must be included with this agreement letter.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 12 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.