2019 Request for Financial Assistance for Church Plant/Ministry Name of candidateName of church plant/ministryStart date of request MM DD YYYY End date of request MM DD YYYY Name of requestorRequestors phoneRequestor email Total estimated cost for DATES REQUESTED for church plant / ministryAttach itemized budgetFunding breakdown for the church plant / ministryThe sum of items A-D must match the total estimated cost.A) Local church participation for dates requestedB) Associational participation for dates requestedC) Other funds for dates requestedD) Amount of grant for dates requested Record of sponsoring congregation’s mission support through the Cooperative Program (CP) over the past three years:201820172016Record of sponsoring congregation’s mission support through the State Mission Offering over the past three years201820172016