Sustainable Development Goals Grant Application Form

Name of the organization requesting grant:(Required)

Street Address:(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address (if different):

Street Address Address Line 2 City State ZIP Code

Contact Person:(Required)

First Last

Email:(Required)

Phone:(Required)

Title of the Mission Project:(Required)

Total Budget for the Mission Project:(Required)

Amount of the Grant Request:(Required)

Provide names and contact information for other sources of funds being used in this mission project:(Required)

What are the relationships between those doing the mission work and The Episcopal Church and the Diocese of Southern Ohio?(Required)

What parishes in the Diocese of Southern Ohio are supporting this mission? How many people from each parish?(Required)

Where will the mission work be done?(Required)

How many people will be served by this mission project?(Required)

Describe the population being served:(Required)

Give a brief description of the mission project, explaining how it builds the capacity of the community for long-term development.(Required)

What Sustainable Development Goal(s) does your mission support? Please use the number & the name.(Required)

How will the grant be used in the overall mission project?(Required)

What is the relationship between this mission project and mission as described in Scripture?(Required)

How does your mission relate to God’s mission of reconciliation and manifestation of God’s realm as made known to us in Jesus Christ?(Required)

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