GPAC Youth Service Fund Youth 2019 Grant Application

Thank you for your interest in applying for a $100 grant to be used towards registration or Youth 2019 expenses. Please submit the application by January 18, 2019. Any applications received after January 18 will not be considered. Applications must be complete and include the Senior Pastor Statement of Support. You will be notified by March 1, 2019 if you are a recipient of the grant.

Applicant's Contact Information:
*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*Church Name:
*Head Pastor Name:
*Church Phone Number:
*Youth Leader Name:
*Church Address:
*Youth Leader Email:
Check box to confirm understanding:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am chosen to receive a scholarship, the money is to be used for Youth 2019 registration or expenses. I also give my permission for my name to be listed in any Great Plains publications or social media posts if I am selected as a recipient of grant.

Please select all groups from whom you have requested funds for Youth 2019:
Church
District
Other sources (please list below)
Other sources of requested funds:
Please list all amounts you have received from other groups for Youth 2019:

Please tell us in 250 words or less why you are applying for this scholarship for Youth 2019 and how will this scholarship benefit you. You may type your response below or attach a file.

Why are you applying for this scholarship? Type response below or attach file.
Attach file

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Be sure to have your pastor complete the Senior Pastor Statement of Support.

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