Shaffner Fund Application

HOME MORAVIAN CHURCH

529 S. Church Street

Winston-Salem, NC 27101

APPLICATION FOR FUNDING FROM SHAFFNER FAMILY DEVELOPMENT FUND

Please complete and return to the church office, attn: Shaffner Family Development Fund Committee

(Attach additional sheets as necessary. Information may be emailed to wwesdavis@gmail.com.)

Application Deadline: July 15th Anticipated Committee Meeting Schedule: First Sunday of August

Applicant name: ____________________________________________ Date: _____________________

Mailing address: ______________________________________________________ ________________

Email Address: _________________________________ Telephone: ____________________________

Amount requested: $ __________

1. Please give details of project: ___________________________________________________________

_____________________________________________________________________________________

2. If this is an individual family project, can it be duplicated by other families? _____________________

3. How will this gift further the development of Home Moravian Church families? __________________

____________________________________________________________________________________

4. Other sources of funding: ______________________________________________________________

5. Total budget of project: __________________________________________________________

6. Will similar requests be made in the future? ____________________________________________

7. Has this request been reviewed by a committee, group, or organization of Home Church? ________

8. If yes, by whom? __________________________________________________________________