Mission Committee Grant Requests |

Mission Committee Grant Request Form

Request for a 2021 grant from Providence Baptist Church's Missions Committee must be completed by the grant application deadline of March 1st. We will notify you of our decision in April. Please Note: All fields are required.
Title of Proposal*
Date Request is Needed*
Date Format: MM slash DD slash YYYY
Submitted By*
Organization Name*
Address
Street Address Address Line 2 City State ZIP Code
Email
What is your request? Provide a description of your need.
*
List your anticipated goals and impact:
*
List your evaluation plan for this request:
*
List your reason for requesting funds (include all other sources of funding):
*
Do you require Providence assistance or staffing for this grant? Please explain:
*
Do you require the use of Providence Facilities/ Equipment? Please explain:
*
Project Budget
Salary & Benefits*
Supplies*
Equipment*
Miscellaneous*
Total for Project
Amount Requested
Salary & Benefits*
Supplies*
Equipment*
Miscellaneous*
Total Requested
Supporting Documentation
Attach any supporting information or documentation that you feel will help the committee in its decision making process.
Drop files here or
Please email djackson@providencebc.org if you have questions. Remember you must have your request in by March 1st. We will notify you of our decision in April.
Mission Committee Approval
Committee Member's Signature
➤ ________________________________________________________________________________
Date Approved
➤ _______________________________________
Church Administration Authorization
➤ ________________________________________________________________________________
Date Approved
➤ _______________________________________
Notes:
CAPTCHA

Mission Committee Grant Request Form

Project Budget

Amount Requested

Supporting Documentation

Mission Committee Approval