SAMPLE ONLY FOR USE BY CONGREGATIONS PREPARING AN APPLICATION.

 

Mission Match¨

A project of empty tomb¨, inc.

 

SAMPLE  Congregational Application to Reserve a Matching Contribution

 

Note:  Please be sure to apply to reserve Mission Match funds before
beginning your fundraising for your congregationŐs new mission money that is
to be matched.

 

I.    Please provide your church information.

A.  Church Name:  First Church of This Town

B.   Street Address:  123 Main Street

C.  City, ST Zip:  Anytown, ST 00000

D.  Phone Number:  XXX-555-0000

E.   Email Address:  xxx@xxx.org                 Fax Number:  xxx-xxx-xxxx

F.   Denominational affiliation:      [Name of Denomination]_________

G   Leadership Information

1.   Name of Senior Pastor:  Rev. J. Doe

2.   Name of Chair of either leadership board or missions committee:

        Name of leader:  L.B. Smith

        Title:  Chair, Missions Board

3.   Contact Person:  M.E. Brown

      Phone number of Contact Person:  xxx-xxx-xxxx

      Email address of Contact Person:  xxxxx@xxxxxx.xxx

II.  Please provide your mission project information.

A.  Location (city and state, or city and country):

Chittagong, Bangladesh

B.   Project Description:  Please give a brief description of your mission project, including the goals
that you hope to accomplish and any agency that you will be
working with, or that will be distributing the money.

Support a denominational medical clinic to purchase new surgical equipment

C.  Please select one of the following options:

R  This is a denominational project.  The denomination will spend the money.

      Denomination:     [Name of Denomination]_____    Project #:   123

r   This is a congregational project.  The congregation will spend the money.  Please provide
a detailed list of what the funds will be used to purchase.

     

__________________________________________________________________

__________________________________________________________________

D.  Expanding Mission Spending in your Congregation:  Please provide a brief description of how
you know that you will be raising "new" mission money to support this
project.  How will raising this new mission money expand the congregation's spending
on mission as a portion of total spending in the current year, compared
to last year?

Last year, 12% of the total amount spent by our congregation went for domestic and international missions.  When this project is added to the amount we plan to spend this year, 12.5% of every-thing the congregation spends this year will be for missions.

 

III. Indicate the amount of Matching Funds that you would like to reserve.  See the Matching $ Table
for currently available amounts.

Money to be reserved by Mission Match (subject to availability of funds):  Our congregation would
like to reserve the amount of Mission Match Matching Funds indicated below.  We
understand that our congregation will raise at least this amount in New Mission
Money in order to receive the amount of Matching Funds requested below. 
Note:  Check only one box.

r      $500             r          $1,000                  r    $1,500               R      $2,000

Special "Helping to Stop, in Jesus' Name, Global Child Deaths" Option:

r $3,000  Our mission project will help, in Jesus' name, stop child deaths as follows:

      r  Sanitation             r  Health Intervention           r  Food Access

      r  Other (please describe):  ____________________________________________

R  Money our congregation will raise:  We understand that, in order to receive the amount
of Mission Match funds requested above, our congregation will raise at least
the same amount in New Mission Money from increased giving in the
congregation.  That is, we will raise:

$2,000 (an amount at least equal to
the amount of Matching Funds requested above).

 

IV. Other Agreements.

R  We have read the Applicant Section of the Guidelines and agree to abide by them.

R  We have read the Terms and Conditions and agree to abide by them.

R  We have enclosed the requested documents:

a.   A recent Sunday bulletin

b.   A dated cover letter on church letterhead signed by the Contact Person.

R  We affirm that the above information is true and correct.

 

Signatures

Senior Pastor of the Congregation:

Signature:  [Signature here]

Print name:  Rev. J. Doe

Date signed:  Month ##, 2006

Congregational Chair of board or committee listed above in section I.

Signature:  [Signature here]

Print name:  L.B. Smith

Date signed:  Month ##, 2006

 

Please mail your completed application and supporting documents to the following address:

Mission Match

empty tomb, inc.

P.O. Box 2404

Champaign, IL 61825-2404