Maine Conference, United Church of Christ
Resourcing the Local Church
Application Form
(Individual Grants)

Name _______________________________________________Date ______________
Address _______________________________________________________________
______________________________________________________________________
Contact phone __________________ e-mail _________________________________
Current employment _____________________________________________________
For how long? __________  Retired? _________  For how long? __________
Employment prior to retirement _____________________________________
Church Membership ______________________________________________________
Church Address __________________________________________________________
Church phone __________________ e-mail ___________________________________
How long have you been a member of this church? ____________ Do you pledge? _____
List the ways in which you support and actively participate in the life of your congregation:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Brief Summary of Request ___________________________________________________
Date funds are needed ____________________________________________
Total Cost $ ________________________________
Your Contribution $___________________
Your Church’s Contribution $___________________
Have you sought other sources for funding? __________
If so, list where and the amount received ____________________________________________
_____________________________________________________________________________
Amount Requesting from Resourcing the Local Church $ _______________
Information that must accompany your application and assists the Resourcing the Local Church Committee in its evaluation includes:
1.	A written detailed description of your request (consisting of not more than two pages).  Please indicate how the grant will benefit you and the ministry of your local church.
2.	Required Signatures:
Applicant ________________________________________________________________
Pastor __________________________________________________________________
Please Note:
The deadline for applications is January 1, April 1, July 1, and October 1 of each year.
Grants cannot exceed $5000 per individual per year (and are often less depending on the number of competing applications).
Grants are paid by the Conference Business Office upon receipt of an Invoice or Receipt (payment cannot be made based on estimates).  Payment for an event or program will be made to the organization and can accompany your registration form (please allow ample time to process).  Payment (reimbursement) to an individual is processed after the event or program. Grants must be disbursed within six-months of being awarded (grantee may request additional time, if needed).  
The Committee can grant funds to assist lay leaders and clergy in attending developmental workshops, and help laity, clergy, and youth with the costs of wider mission activities.  The Committee can supply financial support to Conference programs, which directly benefit local churches, and can help pay for Interim Ministry training.  In all these situations, the RLC Committee anticipates that the applicant will also have pursued and documented other avenues of potential funding.

Return your completed application to:
Resourcing the Local Church Committee
Maine Conference UCC
337 State Street, Suite 3
Augusta, ME 04330-6122

Conference Phone: 207-622-3100
Conference Fax: 207-622-3102
E-mail: conference@maineucc.org 

(Form Updated October 2018)