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 ❑ Charismatic/Enthusiastic
❑ Traditional/Historical ❑ 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.
