Afr Grant Application

Grant Application/Questionnaire November 2009 Retreat Please print legibly

Your Personal Data Name (First/Last) Name of Spouse and Children (if applicable)

Home Mailing Address:

Primary Phone Number:

(area code)

❑ Mobile ❑ Land

Secondary Phone Number:

(area code)

❑ Mobile ❑ Land

Primary e-mail Address:

Your Church Data Church Name Senior Minister or Staff Contact Names

Church Mailing Address:

Church Phone Number:

(area code)

❑ Mobile ❑ Land

Church e-mail Address: Church web page: Denominational Affiliation: Number of employed ministry/administrative staff: Which most closely describes your Sunday morning worship service: ❑ Contemporary/Non-Traditional ❑ Traditional/Historical

❑ Charismatic/Enthusiastic ❑ Blended

Your Youth Ministry Position: ❑ Volunteer

❑ Part Time

❑ Full Time

❑ Volunteer

Average hours per week

Annual salary paid by church:

Years at present ministry

Total years in ministry

Your Youth Ministry Program Grade range

Average weekly attendance

How many adults volunteer regularly for youth programs? Annual youth budget amount devoted to: Missions Fellowship/Recreation Teaching Materials/Worship Resources Technology Continued Education/Professional Conferences/Personal retreats Other Using a list or a full description, describe your typical weekly youth meeting:

List influential persons, books, resources, websites, conferences, etc., that have shaped your current ministry:

Your Educational and Ministerial Experience What were the two most recent academic institutions you’ve attended: Institution:

Major:

Degree:

Institution:

Major:

Degree:

Are you: ❑ ordained

❑ licensed

❑ lay minister

❑ other

With which church(es)/organization(s) do you hold professional credentials:

What were the two most recent ministerial positions you’ve held (not including present): Ministry Position:

Years There:

Ministry Position:

Years There:

Questionnaire How did you hear about this program?

❑ friend

❑ colleague ❑ web search

❑ institution/other: Have you ever been on a traditional spiritual retreat before? ❑ Yes

❑ No

If yes, in what practices did you participate:

If selected, would you be willing to read roughly 50 pages/devote five hours to reading retreat-specific material between now and November? ❑ Yes ❑ No If selected, will you or your church be able to contribute $90 as your personal contribution to this grant program ? ❑ Yes ❑ No

Attachments Mail to: Hopwood Christian Church

ATTN: AFR, P.O. Box 149, Milligan College, TN 37682

 Please attach two (2) letters of recommendation, one (1) from your senior minister and one (1) from your spiritual director or accountability partner. Letters should include: (a) your (the applicant’s) name (b) how long/in what capacity your recommender has known you and in what capacity (c) why you should be considered for this program

 Using the back of this application or a separate sheet, write a few sentences about (1) your current concerns in your spiritual life and ministry; and (2) your expectations for this retreat program.