Peeler/Casey Application

Peeler/Casey Funds

Online Grant Application
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Date *

Month Day Year
Date Congregational Council or Governing Body approved this grant submission.
(Please upload a copy of the minutes of the meeting at which this grant application was approved.)
Upload minutes...
Word or PDF document.
Amount Requested *
Total Project Cost *

Project Title: *
Requested by: *
Name of person/group/congregation/agency requesting funds
Name *

First Name Last Name
Mailing Address *

Mailing Address

Mailing Address Line 2

City State

Zip Code
Business Phone *
Cell Phone *
E-mail *
Project Administrator

First Name Last Name
Contact info if different from above:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Website:
Target Population:
Region Served:
County, State, Country served
Project Start Date: *

Month Day Year
Date

ORGANIZATION

Describe your organization/congregation. (What is your mission statement? How does this project fit into your mission?)
Organization *

Limit 125 words. 0/125
PROJECT DESCRIPTION
1. What is the purpose of the project?
2. What areas of ministry will this project address and how was the need determined?
3. What are the major goals of the project? (How many people do you expect to serve? What will the participants gain from your project?)
4. Describe the effects of this project on the organization, clients, the congregation, or Synod.
Enter Description *

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BUDGET/FUNDING
1. Include the total budget for this project, delineating how the grant funds would be used
2. List all other funding sources for this project.
3. If this is to be an on‐going project, how will it be funded in the future?
Budget/Funding *

Limit 250 word description. 0/250
PERSONNEL

Describe staff/volunteer responsibilities for this project.
Personnel

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EVALUATION

How will the project be monitored? What is your evaluation criteria and how will it be used to measure your sucess?
Evaluation

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REQUIREMENTS

If you received funding for any grant last year, please also fill out the End of Year Report found on this website and submit it with your application. We realize your full year is not complete, but the report will be helpful as we consider your request.

If a grant is approved, an end‐of‐year report must be submitted to the Synod office one year from the receipt of funding. The report should address the progress of the funded ministry and indicate how the grant has facilitated the ministry. Please be aware that this end of year report must be submitted before any further grants can be requested from the Michael Peeler/Virginia Casey Funds.

Any unused funds should be promptly returned to the NC Synod Office and added back to the Peeler/Casey Funds. Any needed change in the project should be reported to the Peeler/Casey Committee by emailing Michael DeNise.
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Any other reports or documents you need to submit.
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Peeler/Casey Funds

ORGANIZATION

PROJECT DESCRIPTION

BUDGET/FUNDING

PERSONNEL

REQUIREMENTS