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Southern Ohio & Kentucky District National Youth Conference Grant Request
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Congregation name 
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Church Address
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What fundraising has the youth group done or will do to defer trip costs?
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List all sources of money used for cost of the trip (ie Fundraiser, youth family, congregational giving, greater community, etc)
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How many individual grants will you need? List how many are Adults and how many are Youth.                 

Southern Ohio/Kentucky District will sponsor both youth and adults with $1,000 per person.

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Name of person who is coordinating the NYC trip 
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To whom should the check be made out to? Church, Youth Fund, NYC coordinator
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Where would you like your check to be mailed?
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 By receiving this grant, the youth and adults agree to provide written report, pictures and/or video of your National Youth experience to the district via email to sodcob@brethren.org within 2 months after National Youth Conference.                                
                               
       

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