North Shore Bible Church - Request for Project Funding

Please provide as much information as possible in order to expedite the review and approval process. Be as accurate as possible with project expense estimates.

First Name

Last Name

Phone Number

What is the estimated amount of funding required to complete this project?

Will the funds be used by one of the Charis Core Services? If so, check which one:

Meals

Transportation

In-Home Visits

Home Services

Describe the nature of the project work that you are requesting Charis funding for:

Provide a breakdown of the expenses involved that totals to the amount of funds being requested:

When is the funding required (check one)?

The project team will fund the project and request Charis reimbursment later

The project team is requesting the funds up front from Charis in order to proceed

I affirm that the financial estimate provided is accurate to the best of my knowledge. I understand that submission of this application does not guarantee project funding and that receipts for major expenditures are required in order to be reimbursed.

Signature

Date Input

If you have any questions while completing this application, send an email to [email protected]

Request for Project Funding

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