SLW Ministry Grant Request Form

 Name of Applicant: ____________________________________________________________       

Check all that apply:                 Sister of the Living Word                    Nonprofit Organization

Organization Name: ____________________________________________________

Address: ____________________________________________________________

 ___________________________________________________________________

Phone: ___________________________ Email: _____________________________ 

Website: ____________________________________________________________

1) What is the Mission of your organization?

2) Give a statistical ethnic/racial makeup for each of these groups: staff, board, and people served.

3) Describe the project (NOT the organization) for which you are requesting funds.

4) State which of the six Criteria (see brochure) the project meets and describe how these are met.

5) What is the amount of money requested from the grant? Please list all projected costs.

6) Did you receive a Ministry Grant in 2010? If so, please include an accounting of the monies.

7) What is your organization’s published equal opportunity policy?

I attest that all of the above information is accurate to the best of my knowledge. 

Signature: ___________________________________________________________

Title:  ____________________________________________ Date: _____________ 

Your Checklist:

q     The Ministry Grant brochure needs to be referenced to complete this application.

q     The brochure and application are available online at www.slw.org.

q     The application itself must be typewritten, with the original questions included in the narrative.

q     Requests are limited to four (4) pages.

q     Please return three (3) copies of the grant request to: Rita Worm, SLW Coordinator of Ministry, 7333 Gallagher Dr. #239, Edina, MN 55435.

q     Grants must be received by March 30, 2011 to be eligible for consideration.