Partnership Evaluation CBFSC Partnership Grant Application Contact Name* First Last Email* PhoneOrganization Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization Website Please list your organization's web address. Organization Facebook Page Please list your organization's Facebook page. Amount Requested* (Up to $3,000)Briefly describe your ministry, including your mission statement, programs, projects, and community involvement.*CBFSC’s Mission Commitments are to cultivate beloved community, bear witness to Jesus Christ, and seek transformational development. Please explain how your ministry helps fulfill one or more of those commitments.*What percentage of your overall budget would this funding represent? What current or new ministries or initiatives will this funding enable you to pursue?*What is the desired impact in your community and how is your ministry working towards that goal? What are the goals and outcomes by which you will measure your impact and success?*Are you willing to submit a partner ministry update form at least once during this year of partnership?* Yes No If this grant is awarded, in what ways could CBFSC congregations and individuals become a partner with your ministry? (Workshops, short-term partnerships, prayer, etc.)*In what ways does your organization interact with children? What, if any, policies or guidelines does your organization follow for child protection and child abuse prevention? Is your organization requesting assistance from CBFSC for training or policy creation?*Please explain your leadership structure and how it will provide accountability for the use of CBFSC funds.*This grant is renewable for 2 years (meaning if renewed you could be receive up to 3 years of funding), but renewal is not guaranteed (renewal is based upon outcomes achieved and availability of funds). How do you plan to sustain your ministry once this grant is over?*CBFSC supports organizations, projects, and programs that do not discriminate on the basis of race, color, religion, national origin, sex, gender identity, sexual orientation, age, disability, or any other legally protected characteristics. Does your organization affirm not to discriminate against those you serve?* Δ