Patterson Grant Application Step 1 of 6 16% Legal Name of Applicant Organization(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Executive Director/President/CEO Name and Title(Required)Telephone(Required)FaxContact Email(Required) Enter Email Confirm Email Contact Name (if different)WebsiteContact Title and PhoneYear Organization Founded(Required)Organization’s Total Operating Budget(Required)Amount of Grant Request(Required) Fiscal Agent (if applicable)Name of Project(Required)Project/Program Abstract(Required)Brief summary of the project/program.Communities Served Ambridge Aliquippa Beaver Beaver Falls Freedom Midland Monaca New Brighton Hopewell Rochester Other Select AllCost of Proposed Project/Program(Required)Amount Requested from Patterson Christian Ministry Fund(Required)Percentage of Total Project/Program Costs(Required)Please enter a number less than or equal to 100.List Recent Grant Funding SourcesList any recent grant funding sources. Project/Program Narrative – History & Accomplishments(Required)Describe the history of the organization and/or project (2–6 pages).Problem/Needs Statement(Required)Why is this project necessary and who will it serve?Project/Program Design(Required)Describe the design, process, and involved parties.Objectives(Required)State the desired outcomes of the project/program.Methods(Required)Describe the activities to achieve the objectives. Definition of Success(Required)How will you define success for your project/program?Experience & Learning(Required)Have you seen this in practice? How will you learn from it?Partners and Their Roles(Required)Who are your partners and what roles do they play?Promotion of Message and Love of Jesus Christ(Required)Describe how your project promotes the message and love of Jesus Christ.Incorporation of Gospel Sharing(Required)How does your project incorporate Gospel sharing?Reaching the Poor/Marginalized (if applicable) Additional Sources of SupportList additional funding sources (table or list).Long-Term Funding/Maintenance Plan(Required)What are your long-term plans for funding/maintenance?Grant Preference(Required) Outright Grant Challenger/Matching Grant Endorsement – Signature of President/Executive Director(Required)Endorsement – Date(Required) MM slash DD slash YYYY Project/Program Budget DetailsList budget items (e.g., personnel, equipment) and amounts.
