To download a copy of the Rainbow Covenant/Advance Request, click here: Advance

North Carolina Conference

Conference Advance Application Form

2004-2008 Quadrennium

Office of Mission Development

Beginning Date:

Ending Date:

Project Name: ________________________________________________________________________

Function: ____________________________________________________________________________

District/Country: ______________________________________________________________________

Sponsoring United Methodist Organization: _______________________________________________

Contact Person(s)/Project Holder: ___________________________________________________

Address: ______________________________________________________________________

City/State/Country/Zip:________________________________________ Phone: __________________

Email: ________________________________________Web Address: _________________________

PROJECT BUDGET(S):

INCOME		EXPENDITURES
Item	Amount	Item	Amount








Total

FINANCIAL DATA

RECURRING NON-RECURRING

Advance Asking Per Year: $ ______ Advance Asking: $

Local Support Per Year: $ _____________ Local Support: $

Other Support Per Year: $ _______ Other Support: $

Total Budget: $ _______ Total Budget: $

Project Name: ______________________________________________________________________________________

District/State/Country: ________________________________________________________

1. PROJECT DESCRIPTION (purpose of project for promotion)

2. EXPLAIN WHY THIS PROJECT IS NEEDED, I.E. WHAT ARE THE CONDITIONS/SITUATIONS THAT THIS PROJECT WILL ADDRESS?

3. WHAT ARE THE GOALS OF THIS PROJECT?

4. WHAT ARE THE SPECIFIC OBJECTIVES OF THIS PROJECT, INCLUDING TIME FRAME FOR COMPLETION?

Project Name: ______________________________________________________________________________________

District/State/Country: ________________________________________________________

5.a. THE FINANCIAL SUPPORT IS FOR (P ONE).

Additional financial support.

Support to enable the initiative of a new and independent project.

Support to enable a new project component of an ongoing project or program.

Other:

5.b. We have asked for Duke Endowment funding:

Check for Yes.

6. DESCRIBE YOUR PROMOTION/MARKETING PLAN FOR REGIONAL/NATIONAL DONORS FOR THIS PROJECT.

7. PLEASE ATTACH A FULL 2006 OPERATION BUDGET FOR THE PARENT/SPONSORING ORGANIZATION.

(See attached budget.)

8. BRIEFLY DESCRIBE YOUR (CHURCH OR ORGANIZATION’S) HISTORY AND MAJOR ACCOMPLISHMENTS.

Project Name: ______________________________________________________________________________________

District/State/Country: ________________________________________________________

9. BRIEFLY DESCRIBE YOUR CURRENT PROGRAMS AND ACTIVITIES.

10. WHAT ECUMENICAL RELATIONSHIPS DOES THE PROJECT HAVE?

Signatures:

Contact Person/Project Holder: ____________________________________       Date___________

Pastor:                               __________________________________________         Date___________

District Superintendent:   _________________________________________        Date___________

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