Please enable JavaScript in your browser to complete this form.Name *FirstLastPhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Email member would Email *Amount Requested ($250-$1000)If applying as a member of an existing GSLC board, please indicate which board:1. Describe in detail the need or problem this request will address:2. How does this request extend your ministry beyond the budget? OR If you are a student applying for tuition assistance, please indicate which synodical institution, chosen church worker program, and status (junior or senior):3. Describe specifically how monies would be used:Requests received in the church office by February 15, May 15, August 15 or November 15 will be reviewed by the Endowment Committee, and recommendations will be forwarded to the Council for approval. If approved for funds, we ask grant recipients to provide the following: -Submit a report to the Endowment Committee on ministry impact of the funds -A short, narrated video or presentation to share with the congregation If you have questions, call or text Craig Stirtz at 402-616-0312. Submit