Request Form

The review board will look over the request and the anticipated approval time is 30-60 days.

Date*
MM slash DD slash YYYY
Church Information
Name of Church*
Church or Church Plant?*
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code

Check will be mailed to this address
FUND REQUEST
Name of event, project, or on-going ministry:*
Date(s) of event/project OR if on-going, list schedule or event dates and times:*
Anticipated total expenses for event, project or on-going ministry:*
How much is your church contributing to this event, project or on-going ministry?*
AMOUNT REQUESTING:*
TELL US MORE ABOUT YOUR EVENT, PROJECT OR ON-GOING MINISTRY
What is your plan of action in executing an effective event, project or on-going ministry?*
How will these resources impact your local church?*
Will you share the gospel at this event (Y/N)? If yes, will you provide evangelism training?*
What is the likely result of your event, project or on-going ministry in your community?*
How can your HPBC team or other churches help with your event, project or on-going ministry?*
CONTACT INFORMATION
Contact Name*
First Last
Title (Pastor, Youth Leader, Missions Leader, etc)*
Phone*
Email*
SIGNATURES OF APPROVAL
Authorized Signature

By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
POST EVENT OR PROJECT
Report:*
- After completion of event or project, I agree to provide 2 high quality photos with a short description of event or project. (Please include who, what, when and where)

Request Form

Church Information

FUND REQUEST

TELL US MORE ABOUT YOUR EVENT, PROJECT OR ON-GOING MINISTRY

CONTACT INFORMATION

SIGNATURES OF APPROVAL

POST EVENT OR PROJECT

Contact Us

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