Thriving Congregations Application Form

Organization Name*

EIN/Federal Tax Identification Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Name*

Title First Last

Other Title

Job Title*

Email*

Phone*

Amount Requested*

My PDF contains the following required documents:*

Combine these documents into a single PDF to be uploaded and submit.

Proposal and Supporting Documents*

Accepted file types: pdf, Max. file size: 256 MB.

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