Grant Request Form Grant Requests 2024 Requesting Church Primary ContactName* First Last Email* Phone*Requesting Church InformationChurch Name* Church Mailing Address*This is where the check will be mailed. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Make Check Payable to* Church Association*CatalinaCochiseDesert PinesEstrellaFour CornersGila ValleyGrand CanyonRiver ValleySan CarlosThrive Baptist NetworkValley RimYavapaiYumaNoneIs this church a church plant?*NoYesChurches less than 5 years old are considered church plants.Sending Church* Sending Church Pastor's Name First Last Sending Church Pastor's Email* Has your sending church participated financially by giving to the Cooperative Program in the past 12 months?*NoYesHas your church participated financially by giving to the Cooperative Program in the past 12 months?*NoYesGrant Request InformationWhich ministry area are you requesting resources from?*SelectEvangelism DiscipleshipChurch Planting Evangelism DiscipleshipLeadershipHispanic MinistriesChurch Planting DevelopmentWhich Evangelism Strategy Initiative does your request fall under?*SelectEvangelistic Prayer DevelopmentCreating a Culture of EvangelismEvangelism Coaching ConnectionsTechnology that is Targeted to EvangelizeEvangelizing the Under-Served in ArizonaA description of each initiative can be found on the Grant Request Information page.What type of assistance are you requesting?*SelectTrainingMaterialsConsultationFinancial ResourcesPastor, how will this request help your local church evangelize?*Is this for an event?*NoYesEvent Name* Event Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Pastor, with this assistance, what's the impact on your congregation you are praying for now?*Local Church Contribution*Contribution Requested from your Association*Contribution Requested from the AZMN*What type of assistance you are requesting?*SelectTrainingConferenceStaff DevelopmentPartnership DevelopmentWhat is the desired outcome?*Please provide us with a detailed itemized spending plan*ItemCost Total Amount Requested*CAPTCHADue to the gifts of AZMN churches to the Cooperative Program, the AZMN is able to provide training, consultation, and financial resources consistent with the Centennial Vision for the facilitating of multiplication of disciples, leaders, and participating churches within the AZMN. To be approved for a Grant Request from the AZMN, a church must demonstrate its commitment to the Cooperative Program by some measure of financial contribution in the previous calendar year. Please contact AZMN office at office@azsbc.org if you have any questions
