Outreach Ministries Fund Request Form
Please use this form to make a formal request of the Outreach Ministries Fund at NSCBC. Before making a request, please read the fund guidelines posted at nscbc.org/outreach/outreach-ministries-fund/ to ensure your project is in keeping with the stated purpose of the fund.

You may submit a request at any time. You will be notified within a week if your request qualifies for consideration at the next OMF Team meeting. The OMF Team meets quarterly in February, May, August, and November to consider pending requests.

Your name
Provide the name of the individual requesting funds
Your answer
Your Email Address
Please provide your email address where we can contact you for further information.
Your answer
Organization
Please provide the name of the organization requesting funds. In the case of an individual, please provide the name of the organization with whom your project is most closely aligned.
Your answer
Organization Website or Address
Please provide the website URL or address of the organization listed above so we can learn more.
Your answer
OMF Funding History
Have you sought OMF funding before? If so, when was your last funding?
Your answer
Connection to NSCBC
Who at NSCBC supports your program, through prayer, funding, or participation?
Your answer
How did you find out about the Outreach Ministries Fund?
Your answer
Amount Requested from OMF
Include how you determined this cost.
Your answer
Full Amount Needed
If you are requesting only a portion of the project costs, please list here the full amount needed and how you are funding the rest. If the amount is an estimate, please let us know how you arrived at that estimate. Please note we will need full documentation of your final expenses.
Your answer
Type of Project
Your Program
Tell us about the program that will benefit from funding. (Later you will share more about your request).
Your answer
Purpose of Request
What specific budget items do you propose to fund via this request?
Your answer
Funding Outcome
What outcome do you hope to achieve with the funds requested? Please include a description of those who will directly benefit from this funding. Your answer could include qualitative and/or quantitative outcomes that explain: "If we receive these funds, we will do _________ for _______."
Your answer
Planned Impact
Your answer might complete this sentence: "If we achieve the above desired outcomes, ______ will be different in the world."
Your answer
How does your project fit the purpose of the Outreach Ministry Fund?
Refer to nscbc.org/outreach/outreach-ministries-fund/ for fund description if not familiar.
Your answer
Other Sources of Funding
What other sources of funding are you pursuing for this project? Please indicate if these are collected, committed, or currently in process of being sought.
Your answer
Accountability
What will you be able to provide, to assure us you used the funds as intended?
Required
Funding Date
By what date do you require funding in order to make the project possible?
Your answer
Make check payable to:
Include desired memo line, if needed.
Your answer
Mailing Address
Please provide a contact person and address for the check.
Your answer
Submit
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