School Nourish Grant

School Information

Name of School *

Address 1 *

Address 2

City *

State or Province *

Zipcode *

Select Union *

Select Conference (please select Union first) *

Principal Name *

Principal Email *

Principal Phone Number *

Treasurer Name *

Treasurer Email *

Treasurer Phone Number *

Constituent Church(s): Include Pastor name, email, and phone number & weekly attendance numbers *

Grantee Personal Information

Name *

Privacy Notice: For IRS compliance, grantee names cannot be stored in our database. Your name will be replaced with a randomly generated identifier (e.g., ABC1, ABC2) when you submit this form.

Age *

Marital Status *

Dependents in household, including age *

Other adults living in house with grantee, including their relationship *

Housing *

Employment Status *

Employment History (include type of work, length of employment, why no longer employed, etc.) *

Monthly Income (list all sources and amounts-paycheck, disability, SS, workers comp, alimony, child support, SNAP, etc.) *

Has anyone on this application received nourish grant funds in the past? If yes, when? *

Crisis Information

Describe the current crisis (be specific, this is how we better understand the situation). *

Has this situation happened before? If so, when? *

Local Support Information

Who at your church have you asked for help in this situation? (list all and be specific) *

Their response (list all and be specific): *

Who in your community have you asked for help in this situation? (list all and be specific) *

Additional resources utilized for relief of this crisis: * *

Resolution of Crisis

What is the plan over the next 3 months to improve the outcome of this situation? *

Amount requested from The SFFC Foundation to resolve this crisis (not to exceed $3,000) *

Please list how these funds will be allocated (be specific, no general estimates) *

Please attach any documents to support above question (invoices, quotes, etc.)

Please attach relevant photos