t Black Disciples Endowment Fund The Black Disciples Endowment Fund is an endowment fund owned by the National Christian Missionary Convention invested with the Christian Church Foundation to help take advantage of the Foundation's experience and track record as a prudent manager of permanent funds with a diversified portfolio. The purpose of the Black Disciples Endowment Fund is to undergird Black ministries within the Christian Church (Disciples of Christ) in the United States and Canada. This purpose is achieved through grants to ministries of: • Leadership Development Ordained Minister Recruitment, training, certification, placement and renewal; Lay Ministry development and training; Undergraduate and graduate scholarships to enable Christian vocation. • Congregational Growth and Vitality New Congregation Establishment; Congregational vitality; Black Church work enhancement • Response to and advocacy for the wellbeing of African American Community Proactive ministries of social justice; Identification, conceptualization and communication of the gifts of the African American journey to the wholeness of the church; Effective response to crisis in the community. Scholarship Assistance Assistance with tuition; program participation of broader church activities; Assistance for attending seminars, workshops and conferences that strengthen Black Ministries. In furtherance of the purpose of the Black Disciples Endowment Fund this opportunity is extended for grant proposals that advance leadership development, congregational growth and vitality or response to and advocacy for the wellbeing of the African American community. The completed grant application should be submitted to: Black Disciples Endowment Fund Trustees c/o National Convocation 1099 N. Meridian St. Suite 700 Indianapolis, Indiana 46204 Grants are awarded for an amount up to five thousand dollars ($5,000). The deadline for receipt of the application at the above address is December 31, 2015 for consideration of a calendar year 2016 award. All applicants will be notified by March 30, 2016 of their Grantee status. Any grant application selected for funding requires a Post Award Report at the mid-way point and completion of the project for which the grant was awarded. Any funds not used for the stated and approved project within the approved period must be returned to the Black Disciples Endowment Fund. Any questions should be directed to The Black Disciples Endowment Fund Trustees at the above address. 1 Application for Black Disciples Endowment Fund Scholarship or Grant A. Applicant Information 1. Name and address of individual or group submitting application Legal Name: Address: _ ------------------------------------------------ City State E-Mail Address: Zip Code _ B. Application Information 1. Provide a brief summary statement of the nature of this proposal identifying the specific Black ministry within the Christian Church (Disciples of Christ) to be served. Attach additional pages as necessary. 2. Provide a brief description of the sponsoring agency, organization, church or individual. Any application for undergraduate or graduate scholarships must be accompanied by an official transcript. Attach additional pages as necessary. 3. Provide a detailed description of the purpose of this project, listing the goals, objectives and target audience. You should include details on how the effectiveness of this project will be measured along with the evaluation method to be utilized. Attach additional pages as necessary. 2 4. Provide the amount of the request along with sufficient details of the budget request. Attach additional pages as necessary. C. Project Director: --------------------Address: _ City State Zip Code Authorized Representative Information I affirm under penalty of perjury that to the best of my knowledge and belief all information in this application is true and correct. The amounts of the grant if awarded will be used for the above stated purposes. A report at the mid-way point of the term of your project must be submitted to the Board of Trustees. A formal report will be submitted to the Board of Trustees upon completion of this project. Signature and Title of Grant Applicant Date The completed application and all relevant documents should be submitted to: Black Disciples Endowment Fund Trustees C/o National Convocation Kimberly Caudle · 1099 N. Meridian St. Suite 700 Indianapolis, Indiana 46204 3 Black Disciples Endowment Fund Grant- Post Award Report After the grant is awarded, the grantee must submit this completed report to the Board of Trustees at the mid-way point of the project term or grant period and upon completion of project or end of grant period. Grantee/Project Name: ----------------------Contact Person: ---------------------------_ Phone#: E-Mail: Grant Start Date (mm/dd/yy): / / End Date: - I-- I --- This Report Period - From: - I- I--- To: - Report Status (check one): I I------ ----' ---' Mid Report Final Report Part 1: Project Narrative. (Attach additional typed pages as necessary) Briefly summarize the progress of the project since the grant award or since the last report. In the project narrative, please address the following: 1. What activities did the grant support and what Black ministry within the Christian Church (Disciples of Christ) are you serving as grantee? 2. What objectives/goals/outcomes has the project achieved so far? 3. Beyond the project's direct accomplishments, what was the impact on, or benefit to, your organization, community, discipline/field, target audience, and/or church? Note: We encourage you to include testimonies or human interest stories about the project. You may also include programs, reviews, relevant news clippings, or other evidence of your acknowledgment of BDEF [Black Disciples Endowment Fund] support. 4 Part II: Financial Status. (The Board of Trustees reserves the right to request grantee to provide evidence that BDEF grant award is being used for approved purposes.) I Previously Reported II This III Period Cumulative Total Grant Amount Awarded Total Grant Expenditures (Actual) Grant Funds Remaining (Balance) N/A Note: Attach any explanations or financial information/documents deemed necessary to show compliance with proposed budget or changes/deviation from proposed budget. Part III: Certification I affirm under the penalty of perjury that to the best of my knowledge and belief all information in this report is true, correct, and complete. Typed or Printed Name and Title of Project Director/Authorized Representative Signature of Project Director/Authorized Representative Date The completed application [Post Award Report] and all relevant documents should be submitted to: Black Disciples Endowment Fund Trustees C/o National Convocation Kimberly Caudle 1099 N. Meridian St. Suite 700 Indianapolis, Indiana 46204 5