Foursquare Foundation Online Application

Project Leader Contact Information

Project Leader First Name:
Project Leader Last Name:
Project Leader Title:
Project Leader Phone Number:
Project Leader Cell Phone Number:
Project Leader International Phone Number:
Project Leader Fax Number:
Project Leader Email Address:
Project Leader Denominational Affiliation:
Project Leader Mailing Address:
City:
State:
Zip Code:
Country:

I do not agree.

Project Leader Affiliation

Note: If you have any questions regarding the above categories, please do not hesitate to call the Foursquare Foundation office @ (213) 989-4512.

Project Leader Home Church Information

Home Church Name:
Church Denomination:
Senior Pastor:
Senior Pastor Phone Number:
Senior Pastor Email:
Home Church Address:
City:
State:
Zip Code:
Country:

Project Leader References

Project Leader Reference #1

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Project Leader Reference #2

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Project Leader Reference #3

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Sponsoring Organization Information

Sponsoring Organization Name:
Address:
City:
State:
Zip:
Country:
Sponsoring Organization Web Site:
Sponsoring Organization Region:
Denomination Affiliation:

Project Name, Location, and Funding Term

Please provide a concise and descriptive name for the project:
Project Country:
Project Region:

Project Funding Term

What is the term of your project in years?

Requested Funding Term:
Requested Funding Start Date:	//
Requested Funding End Date:	//

Multi-Year Projects

Projects will be considered where there is a need for the sowing of seeds to reach decisions for Christ. However, funding will not exceed three years. Please demonstrate how your project necessitates multiple years of funding in order to be fruitful. (Respond only if multi-year) Response is limited to 1000 characters including spaces.

Project Evanglism Yield

How many additional people are projected to follow Jesus Christ as a result of the Foundation funding of the project? Please provide the number of decisions expected for the total project term as well as the number of decisions per year if a multi-year project has been indicated. Note: The "Totals" are auto-calculated.

Expected decisions for project term per year without Foundation Funding:

Year One:

Total:

Expected ADDITIONAL decisions for project term per year with Foundation funding:

Year One:

Total:

Total Expected Decisions for Project Term:

Project Description

Please describe, in detail, your project. Response is limited to 1000 characters including spaces.

Project Acceleration

Please describe how Foundation funding will accelerate and impact your project plans. Response is limited to 1000 characters including spaces

Project Leader Evangelism Experience

Please provide a description of the Project Leader's history of leading evangelism up to current ministry leadership. Response is limited to 1000 characters including spaces including spaces.

Number of recorded decisions from all past ministry:

Follow-up and Discipleship Plan

Please describe, step by step, the plan for the follow-up and discipleship of individuals who will become new believers as a result of the evangelism efforts. In addition, please identify any churches and/or organizations that will partner with the follow-up and discipleship effort. Response is limited to 1000 characters including spaces.

Projected Number of New Believers to be Discipled:

Project Leader History of Follow-up and Discipleship

Please describe the methods of follow-up and discipleship used effectively by the Project Leader in past ministry efforts. Response is limited to 1000 characters including spaces.

Past Number of New Believers Discipled:

Emerging Leader #1

Name:
Phone:
Cellular Phone:
Email:

Please describe, step by step, the plan for the development of this Emerging Leader: Response is limited to 1000 characters including spaces.

Emerging Leader #2

Name:
Phone:
Cellular Phone:
Email:

Please describe, step by step, the plan for the development of this Emerging Leader: Response is limited to 1000 characters including spaces.

Emerging Leader #3

Name:
Phone:
Cellular Phone:
Email:

Please describe, step by step, the plan for the development of this Emerging Leader: Response is limited to 1000 characters including spaces.

Project Leader History of Leadership Development

Please describe the methods for leadership development used effectively by the Project Leader in past ministry efforts. Response is limited to 1000 characters including spaces.

Financial Accountability

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Please describe how this individual will provide accountability for the Project Leader in the area of finance. Response is limited to 1000 characters including spaces.

Spiritual Accountability

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Please describe how this individual will provide spiritual and personal accountability for the Project Leader. Response is limited to 1000 characters including spaces.

Operational Accountability

Name:
Title:
Church:
Phone:
Cellular Phone:
Email:

I do not agree.

Please describe how this individual will provide operational accountability for the Project Leader. Response is limited to 1000 characters including spaces.

Project Leader History of Accountability

Please describe the methods of accountability used effectively by the Project Leader in past ministry efforts. Response is limited to 1000 characters including spaces.

Project Cost

The Foursquare Foundation provides grants that are a maximum of 50% of the Total Project Cost. Grants requests may be no less than $10,000 and no greater than $100,000 per year. The amount should be represented in US dollars.

Project Cost by Year:

1: $ 2: $ 3:

Total Project Cost: $

Foursquare Foundation Dollars Requested by Year:

1: $ 2: $ 3:

Total Dollars Requested: $

Matching Funds and Other Revenues

Please list the sources of matching funds, including the Name of the Organization, the Form of Donation, the Value of the Donation, and the Date at which the funds were received. The total of Currently Held and Anticipated Matching Funds should meet or exceed the Foursquare Foundation Grant Request amount listed on page 22.

Currently Held Matching Funds

Name of Source/Organization		Amount/ Value Matched
		$
		$
		$
		$
		$
		$
		$

Please list the sources of matching funds, including the Name of the Organization, the Form of Donation, the Value of the Donation, and the Date at which the funds will be received.

Anticipated Matching Funds

Name of Source/Organization	Amount Anticipated	Date Received
	$
	$
	$
	$
	$
	$
	$

Project Budget Introduction

Project Expenses Detail

Category	Budget	Category Detail
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$

Total Project Expenses: $

Category	Budget	Category Detail
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$

Total Project Labor Costs: $

Category	Budget	Category Detail
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$

Total General Administratives: $

Category	Budget	Category Detail
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$

Total Travel Expenses:$

This page summarizes your entries from pages 22-28. Please use this page to review your budget and verify that your Total Income and Total Expenses are equal. Your net income should be "$0." If not, please return to the appropriate page(s) and make the necessary changes. Do not make changes on the Budget Summary page.

Revenues	Total Project	%
Foursquare Foundation Grant (from pg. 22)	$	Warning: Division by zero in /tmp/www.foursquaredev.net/templates_cv9922/%%D2^D28^D28B368F%%printView.tpl.php on line 1499 0%
Matching Funds and Other Revenues (from pg. 23)	$	Warning: Division by zero in /tmp/www.foursquaredev.net/templates_cv9922/%%D2^D28^D28B368F%%printView.tpl.php on line 1507 0%
Total Income	$	100%

	Total Project	%
	$	Warning: Division by zero in /tmp/www.foursquaredev.net/templates_cv9922/%%D2^D28^D28B368F%%printView.tpl.php on line 1535 0%
	$	%
	$	%
	$	%
	$ 0	100%
	$ 0	---

Project Financial Sustainability Plan

How will the Total Project Cost be financially sustained after the Foundation funding has ended? Response is limited to 500 characters including spaces.

Please describe the methods of fundraising used effectively by the Project Leader in past ministry efforts. The description should include any specific methods used to raise funds. Response is limited to 1000 characters including spaces.

Documentation

If your application is selected for further diligence, you will be required to submit the following documentation. Please DO NOT send this documentation at this time, but indicate whether or not you have this documentation in hand (YES, NO, or IN-PROGRESS). Additionally, if your application is selected for grant funding, you will be asked to participate in a monthly follow-up conference call with your Grant Coordinator to provide ongoing updates on your specific project goals.

Documentation	Status
Sponsoring Organization Financial Statements
Endorsement Letter from a Foursquare Pastor
501(c) 3 Status
Non Governmental Organization