Southeastern District – LCMS

6315 Grovedale Drive

Alexandria, VA 223102501

800.637.5723

 
Ablaze for GodŐs Mission
 
Ablaze! Circuit Mission and New Outreach Ministry Grant Request

 

Grant Requestor Summary

 

Part 1 – Requestor Information

 

Full name of the ministry

 

Contact person

 

     

     

 

Mailing address

Web site address

 

     

     

 

City, town or post office

State

ZIP code + 4

Circuit Number

 

     

  

     

     

 

Phone number and extension

     

Fax number

     

 

Name of the Circuit Counselor and Circuit Mission Advocate

 

     

 

Has a local mission committee been formed?     Yes          No

 

 

Part 2 – Mission Project Coordinator Information

 

Mission Project Coordinator

 

 

     

     

 

Mailing address

 

     

 

Street address (if different than the mailing address)

 

     

 

City, town or post office

State

ZIP code + 4

E-mail address

 

     

  

     

     

 

Work phone number and extension

Best time to call

 

     

     

 

Fax number

 

 

     

     

 

Project director signature

Date (mm/dd/yyyy)

 

     

Circuit Mission Advocate Signature

Date (mm/dd/yyyy)

 

 

Part 3 – Project Basics

 

Project title

 

     

 

Grant requested

 

$      

Total project cost

 

$      

Does this project involve starting a new mission that may evolve into a chartered LCMS congregation?

 Yes       No

Project Start date

(if applicable)

 

     

Project End date

(if applicable)

 

     

 

Briefly describe the project. Include the vision and mission for this ministry and the mission values that are guiding the effort.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Action plan: Chronologically list the main action steps and decision points pivotal to completing the project. Outline the timeline in the two-column table below showing the corresponding actions beginning with the start date and ending with the end date.

 

Activities

Target Dates

 

Start date

     

 

1.           

     

 

2.           

     

 

3.           

     

 

4.           

     

 

5.           

     

 

6.           

     

 

Grant Proposal Narrative

 

Summary:  How will peoplesŐ lives be transformed as a result of this project?

 

     

 

 

Type of Mission Center:  Which of the following descriptor(s) best describes this outreach effort (check all that apply)?

 

 Outreach to ethnic or immigrant group(s)

 Outreach through Lutheran Education or Child Development Center      

 Outreach through Daughter or Satellite Church planting

 Outreach to the Urban area

 Outreach to people not currently being served by the congregation

 Other types of outreach (please describe)