Resourcing the Local Church Application Form
Maine Conference, United Church of Christ

Name _______________________________________________Date ______________

Address _______________________________________________________________

___________________________________________________ ZIP _______________

Title/Position ____________________________________________________________

Telephone: Home __________________ e-mail _________________________________

Name of Your Church ______________________________________________________

Church Address __________________________________________________________

Brief Summary of Request ___________________________________________________

Anticipated Date of Program _________________________________________________

Total Cost $ _______________________ Your Church’s Contribution $_______________

Your Contribution $_________________ Other Resources $_________________________

Amount Requested from Committee $ _____________

* Application will not be considered without the following*


1. A written description of your request consisting of not more than two pages. Include information on how the program will benefit your church and contribute to future ministries.

2. Signatures of: Applicant _______________________________________________________________________

Lay Leader ______________________________________________ Position ______________________________

Pastor __________________________________________________

Return to: Resourcing Local Church, Maine Conference UCC, P.O. Box 966, Yarmouth, ME 04096 207-846-5118
207-846-5118 or 1-800-244-0937