PLG Group Proposal and Grant Form – Cooperative Baptist Fellowship

Convener's Name*

First Last

Convener's Email*

Preferred Phone*

In what state will your meetings be held?*

Meeting Location*

Status of Group*

New
Renewal

Type of Group (i.e. Pastors only, Women in Ministry, etc.)*

How often will the group meet?*

Please describe the purpose of the group.*

Please describe group goals and objectives, including planned activities, events and resources.*

Grant amount requested? (Up to $500)*

Proposed use of funding*

Church name (If funded, convener will be contacted for further information needed to process payment to the church)*

Group Members

Please list all Group Members and Contact Information

Group Member*

First Last

Church/Organization

Title

City and State

City State

Email*

Group Member*

First Last

Church/Organization

Title

City and State

City State

Email*

Group Member*

First Last

Church/Organization

Title

City and State

City State

Email*

Group Member*

First Last

Church/Organization

Title

City and State

City State

Email*

Group Member*

First Last

Church/Organization

Title

City and State

City State

Email*

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Group Member

First Last

Church/Organization

Title

City and State

City State

Email

Contact Person*

First Last

Church Address*

Street Address Address Line 2 City State ZIP Code

Information from this form will be entered into the database of the Cooperative Baptist Fellowship. Questions? Please contact CBF Peer Learning Groups at plg@cbf.net

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