<p> GRANT APPLICATION MISSION PARTNERSHIP FUNDS for 2016 Presbyterian Church, USA – Synod of the Pacific – Boise Presbytery (form for congregations and other ministries)</p><p>Please complete and return to: Boise Presbytery Date of Application: 950 W. State Street Boise, ID 83702 Amount Requested:______</p><p>Name of Church or Mission Project ______Address</p><p>______</p><p>______Contact Person:</p><p>______(Name, address, day and evening ______phone, email) ______On a separate page (not more than 2 one-sided pages), please respond to the following questions: 1) Your Church/Ministry: Tell us what you would like us to know about your church or ministry. 2) Your Need: Describe the project, idea or goal for which you request mission partnership funds? 3) Your Request: a) How did you determine the amount requested? b) How will your congregation contribute to this project? c) What other sources of funding are you pursuing? (Ex. Synod grant, other community groups, etc.) </p><p>4) Financial information: a) Please provide the information on the Financial Information Form (back side of this application). Non-congregational ministries please supply comparable information as you are able. b) Please attach a financial statement for the year ended 12/31/2014. 5) Alternatives to Funding: Can this project go forward without the grant requested? a) What other means of support might you be able to use?</p><p>6) Session Approval: Session approved this application on ______(date).</p><p>______Clerk of Session</p><p>Completed applications must be postmarked by October 15, 2015 MISSION PARTNERSHIP FUNDS GRANT APPLICATION FINANCIAL INFORMATION - Year Ending December 2014 Membership Assembly ...... Total active ...... membershipper 12/31/2014 capita apportionment ...... validated mission ...... Average Attendance at Sunday Worship ...... G. A. theological education fund . . . . . Finances ...... Giving Units other mission ...... Total Budgeted Income ...... Total Budgeted Expense ...... Calculations: . . . . . What is the average contribution per member Receipts of your congregation? contributions (contributions divided by ...... active membership)...... What is the average capital and building funds contribution per ...... attendee? ...... investment and endowment income ...... bequests ...... other income ...... subsidy or aid ...... Total receipts ...... </p><p>Expenditures local program ...... Mission pledge (Synod/Presbytery) ...... capital expenditures ...... Mission pledge (General What is the total value of all liquid assets? 1. Savings accounts ...... ______2. Checking accounts ...... ______3. Certificates of deposit ...... ______4. Other investments ...... ______</p>