Chaplaincy NZ Grant Application Form

Chaplaincy New Zealand provides monetary grants in accordance with its mission statement.

We exist to:

• Promote chaplaincy as a powerful tool to reaching into our communities.

• Train chaplains to be effective ministers in the community.

• Release individuals into active service in the community.

• Support our chaplains as they serve.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

If the person completing this application is not the grant applicant please provide details below

Name, Phone and Email

Have you sought funds from your regular supporter, your church or another trust/agency?

Yes

Supporter funds received

Local church funds received

Other Trust or agency received

What is the purpose of your grant application?

Describe how the grant will further the objects of Chaplaincy New Zealand

Provide two contact names and phone numbers of people who would support your application

Amount applied for

Date finance required

YYYY

Bank Account Details

Further Information