Ministry Application
Ministry Application≈
Name:______________________________________________________________
Address: ____________________________________________________________
Ministry Name: _______________________________________________________
Ministry Address:______________________________________________________
Office / Ministry Phone number:_________________ Alternate Number:_____________
Email address:_____________________________
Website: __________________________________
Can we contact you via facebook? _______________ If yes, please explain how: __________________________________
1. Please describe the ministry you are involved in: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2. Are you affiliated with a Denomination? __________________If yes, which one?_______________________________________
3. What is your monthly Budget? _________________
4. Are you at budget? _____________________ Please explain: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. How are you currently being supported?________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. What accountability do you have in place? ______________________________________________________________________________________________________________________________________
7.Do you have a sending organization? _____________ Please Expound: _______________________________________________________________________________________________________________________________________________________________________________________
8. Are there any special projects you are raising funds for? __________ If yes, please explain: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
9. Are you or a family member currently supplementing your income with a secular job? _______ If yes, please explain: _______________________________________________________________________________________________________________________________
10. How would you like HPGF to assist you in ministry? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
11. Do you have any professional / sending church / or personal references that we could contact to speak with regarding the ministry you are involved in? ____________ If yes, please list name and contact information below:
12. References name: Contact Information: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________
13. Please list any community service you participated in and explain in details what your role was. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________
14. Were you in any leadership roles in the last 4 years? _____ Please explain: __________________________________________________________________________________________________________________________________________________________________________________________________________________________
15. Is there anything you would like to add? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
16. If you are a recipient, do we have authorization to publish this on social media and our website? ___________________________________________________
I certify the information provided is complete and accurate to the best of my knowledge and understand that falsification of information may result in award termination.
Signature: __________________________________________________________________________
Full Name (Please Print) ___________________________________________ Date: __________
Please attach any pictures, correspondence, ministry information and /or references you would like us to review.
Please scan this application with attachments and email it to: HealthProfessionalGF@gmail.com.