Chalice Lighter Application

Home

Chalice Lighter Congregation Grant Application

Grant Applications must be received (or postmarked) by the date contained in the procedures. Complete the following form and click the "SUBMIT" button (it will email the form to the Mid-South District Office). You may also print this page, complete the form by hand, and mail it to:

	The Mid-South District Office
	9 Meadors Lane
	Oxford, Mississppi 38665 
	(662) 324-4423 
	FAX: 662-234-2566 ...
	Email: MSDUUOffice@aol.com

Chalice Lighter Grant Application

Your Name:
Congregation:
Phone:
Fax:
Email:
Address:
City, State:
Zip:

We request that a Chalice Lighter "Call" be made to assist our congregation in (check one):

	organizing a new congregation,
	securing or increasing part or full time professinal religious leadership (e.g., parish ministry, religious education ministry, or music ministry), or
	assisting with funding for the first building or a significant expansion of the current building or grounds.

1. The Project Description (use additional sheets if necessary)

A. Describe the specifics of your project. Please include the proposed budget for the project and list what resources and/or financies are available from your congregation to help with the project.

.
B. Describe the potential impact on the growth of Unitarian Universalism through this project.

.
C. Please attach (email) your long range plan for growth. If not yet available, explain the process you are using to develop it.

2. Membership
	Current	1 year ago	2 years ago	3 years ago
A. Adult Voting Members
B. Average Sunday Attendance

3. Religious Education for Children/Youth
	Current	1 year ago	2 years ago	3 years ago
A. Number of Children Enrolled
B. Average attendance
C. Number of classes
D. Do you have a youth group?	Yes No
How many youth are enrolled?
E. Do you provide child care?	Yes No

4. Religious Education for Adults
	Current	1 year ago	2 years ago	3 years ago
A. Number of Adults Enrolled
B. Average attendance
C. Number of classes

5. Organizational Structure
A. How many are on your governing board?
B. Length of term?
C. List of Committees

6. Staff
Name	Position	Full/Part-Time

7. Finance A. Please Indicate your operating income and expenses each year
	Current	1 year ago	2 years ago	3 years ago
Total Expenditures
Pledge Income
Investment Income
Other Income
Pledging Units
Please send (email/mail) a copy of your current budget.
.
B. Do you have a Capital Development Plan and Budget? If so, please send (email/mail) a copy.

8. Information on Meeting Place
Ownership Status	Owned with Mortgage Rented Owned In Full

How long have you been meeting there?
Age of building

Describe building, grounds, parking, signs, and location within the community:

9. Other Information	This Year	Last Year
We are an Annual Program Honor Society	Yes No	Yes No
We are District Assessment Honor Society	Yes No	Yes No

.
This request has been approved by the Board of Trustees of our congregation in a meeting held on

We shall provide reports per the Chalice Lighter Program Procedures.

Our Liason is
Name:
Address:
Phone:
Fax:
Email
Prepared by:
Position:
Date:
Phone:

Mail, Email, or Fax completed applications (by the postmark date contained in the procedures) to:

Mid-South District Office
9 Meaders Lane
Oxford, Mississippi 38665
(662)234-4423
FAX (662)234-2566
Email: MSDUUOffice@aol.com

Mid-South District of the Unitarian Universalist Association of Congregations
9 County Road 1058, Oxford MS 38655-9695 (ph/fax) 662.234.4423

Eunice Benton	Sharon Walls	Connie Goodbread	Mitzi Stafford	Margarette Davis
Executive	Administrator (web updates)	Program Consultant	Bookkeeper	Chalice Lighter Administrator