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Indiana Nazarene Clergy Grant Application
Applicant Information
First Name (*)
Name field should only contain letters
Last Name (*)
Name field should only contain letters
Address (*)
Address 2
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City (*)
State (*)
Zip Code (*)
Home Phone
Mobile Phone
Email Address (*)
Please enter a valid email address
Position at Your Church (*)
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Church Information
District (*)
Church Name (*)
Church Name Required
Church Phone (*)
Church Mailing Address (*)
Please enter an address
Church Mailing Address 2
Church City (*)
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Church State (*)
Church Zip Code (*)
What type of grant are you applying for? (*)






Amount of Request? (maximum amount is $10,000) (*)
Actual amount of grant is limited to the match by the church or provider.
Reason For Request (*)
How will the funds be used? (*)

**** Financial Planning Information ****

Health Insurance Information
Do you have Health Insurance? (*)
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Through Which of the
following are you provided
coverage




Retirement Plan Information
Are you participating in any retirement plans? (*)
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Through Which of the
following are you participating?


What kind of plan are you participating in?

Misc Planning Information
Have you completed a course in personal financial management? (*)

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Which provider of financial planning?


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Has the church prepared an operating budget for the current fiscal year? (You may be required to submit a full church budget) (*)

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Has the church applied for other grants
with INCA? (*)

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May we schedule a time with your church board to explain how the Indiana Nazarene Clergy Association is helping pastors across the state and how they can help their own pastor? (We strongly reccomend this) (*)

Do you have an accurate household budget in writing? (*)

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Please list all debts (i.e. mortgages, home equity lines, student loans, car loans, credit cards, etc.) Please list lender, balance, current or default.
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1. INCA will give first priority to grants submitted by new applicants, and those who participate in INCA initiatives, offerings or gatherings for fundraising efforts. 2. Applications will now require evidence of matching funds at some point throughout the process. 3. As a part of the grant application, applicants agree to allow an INCA representative to have a brief meeting with their church board at the applicant's convenience.
I have read and understand the expectations of those who recieve a grant from INCA. (*)

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Hoosier Nazarene Pastor's Grant 2010