Project Funding Application

Due by March 1

MID AMERICA UNION CONFERENCE | Adventist-Laymen’s Services and Industries

Note applications are due by March 1 and awardees will be email notified by April 1. Award disbursements will begin in July.

Presentation materials are due by April 20 by email for inclusion in the ASIMA Convention. Attendance is required for awardees (with booth if possible) to provide a report or be part of the Members in Action segment.

Final project reports are due by February 1 of the following year.

This form is for ASI member ministries within the Mid-America Union to apply for Special Projects Funding. You are invited to apply, however application is no guarantee of funding.

BASIC REQUIREMENTS

You must have a presence in the ASIMA region.
You must have an active member of ASIMA you your operation.
You must have been in successful operation for at least one full year.
You must have a non-profit notification 501(c)3 or comparable document.
Your employees should be working for sacrificial remuneration.
The Board of Directors are not primarily family members.
Ministries that have received funding in the previous 3 consecutive years are not eligible to apply for the current year.
For consideration, please submit the application to the Mid America Union ASI office by the due date above.
Applications are considered at a Mid America Union ASI Executive Board meeting.

Funding Application

I. Basic Demographics

Name of Organization *

Address *

City *

State *

Zip/Postal Code *

Country *

Phone Number (Format 1234567890) *

Date of Incorporating / Opening

Administrative Officer *

Year you joined ASI

Why you joined ASI

II. Financial Status

Assets

Market Value

Current Mortgage

Total budget for the last three years

Write the year and amount in a single line. One line per year.

Average salary for employees per month

Financial Plan

List outstanding debts of 60 days or more

Write amount and primary use. One entry per line.

Budget

Amount requested from ASI

Total project budget

Funds on hand

Date you expect to begin project

Date you expect to finish project

III. Use of Funds

Give a detailed account of how you intend to use these funds:

IV. Budget

Describe your ability to budget your present operation from regular income

V. Additional Funding

If this special project requires more than ASI funding, how do you propose to raise it?

VI. Background

Describe the organization’s background (years of operation, sources of income, etc.)

VII. Board of Directors

Name and business

VIII. Future

Prospects for future operation and development

If you are human, leave this field blank.