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UISBC Funding Request Form
Funding Request Form
Name of Church or Association
Association Affiliation
Color Country Association
Eastern Idaho Association
Gideon Association
Golden Spike Baptist Network
Magic Valley Association
Salt Lake Association
Silver Lakes Association
Treasure Valley Association
Utah Association
Whispering Pines Association
Unaffiliated with Local Association
Church Mailing Address
Address Line
City
State
Zip
Does the check need to be mailed to a different address?
Yes
No
Check should be mailed to this address
Address
City
State
Zip Code
First Name
Person completing the request form
Last Name
Phone
Email
Name of Ministry/Event or Equipment Description
Date of Event
Location of Event
Please indicate which categories the ministry/event fits into
Sharing Christ
Starting Churches
Strengthening Churches
How will the funding be used?
Provide an abbreviated (bullet point type) description. 1) Purpose (description) of the event/ministry/funding request, 2) Desired outcomes and, 3) Plans for follow-up - attach additional pages or supporting documents for further description.
Additional Pages or Supporting Documents
Choose File
Projected Budget
Budget Breakdown
Will you be receiving funding for this Ministry/Event or Equipment from
Your local Association
Church
Other Sources
How much is your Association contributing to this Ministry/Event or Equipment?
How much is your local church contributing to this Ministry/Event or Equipment?
Name of Other Source
How much is other source contributing to this Ministry/Event or Equipment?
Total Amount Requested
Submit Request
