CPS GRANT APPLICATION FORM - OCSJM



|For Office Use |

|Project # |

|Date |Item |

| / / |Application Rec’d |

| / / |Onsite by _________ |

|$ |$$ Approved |

| / / |Contract Rec’d |

| / / |Project Report Rec’d |

|Notes / Changes: | |

GRANT APPLICATION FORM 2017-2018

COOPERATIVE PARISH SHARING

OFFICE FOR CATHOLIC SOCIAL JUSTICE MINISTRY

ARCHDIOCESE OF HARTFORD

467 BLOOMFIELD AVENUE

BLOOMFIELD, CT 06002

PHONE (860) 242-5573 FAX (860) 243-0649

*** EMAIL info.ocsjm@ ***

All questions must be answered.

Complete each item and mail, fax or e-mail by

December 1, 2016

[Note: There is a different application for Youth Ministry Projects and HomeFront Projects.]

|Parish Name | |

|Address | |City/Town | |

|Pastor’s Name | |Pastor’s Phone | |

|Contact Person (for | |Contact | |

|Onsite Interview) | |Phone | |

|Email address for contact person | |

|Type of Project (check) |( Parish Social Ministry |

| |( Catholic School Special Project |

|Amount Requested * |$ |*See Instructions page 2: Maximum Grant Total per parish is $10,000. |

|Prior Funding from CPS received for |( Yes ( No |If yes, |$ |

|this purpose | |Amount & Year | |

| | | |Year |

|Collaborators (if any): | |

|(Parish Name(s), | |

|Archdiocesan Agency, | |

|Catholic Charities, | |

|Other) | |

| | |

| | |

| | |

| | |

|Does your parish have more than | |

|$500,000 in unrestricted cash? If yes,| |

|please explain why you need CPS | |

|funding for your project. | |

Project Name: ( New Project ( Continuing Project

PART I: ACTION PLAN

Please answer the following questions as completely as possible.

1. Please describe your project.

2. List the projects goals and please be specific.

a.

b.

c.

3. List the ways you will measure the success of these goals. (Common ways to measure success of projects are surveys, testimonials, pre and post school testing). If you receive funding from CPS, a project report will be required at the end of the grant year.

4. Complete Attachment A: Principles of Catholic Social Teaching Worksheet. This is a required part of the application. The CPS Committee will use these principles of Catholic Social Teaching in evaluating your grant proposal as to how social justice needs are met by the project. Please select 2-3 of the most relevant items checked on the worksheet and elaborate below to explain how each area will be addressed in your project.

a.

b.

c.

5. How did you determine the need for this project in your parish and/or community? (Whom did you consult, what have you observed, what prior experience have you had with this need?)

6. How many people in your parish and/or community will directly benefit from this project? Explain how you arrived at this number.

7. Please describe in detail the action steps you will take of your project, and the timeline for each step. Be as specific as possible.

|Action Steps |Start/Completion Dates |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

8. Who will do the work? What skills and experience do they bring? How will training be provided, if needed? Please be specific.

Please check off the following:

← Yes, I understand and verify that:

• Anyone working with children will need to undergo VIRTUS training.

• All supervisory and/or consulting contractors must be licensed by the state and be insured.

PART II: TELL US ABOUT YOUR FUNDING NEEDS

Please use the attached budget form to clearly state ALL expected expenses, all sources of income, the amount requested from CPS, and Parish in-kind support for your project. Refer to the sample budget for help with completing this form. You may also contact Lynn Campbell, Executive Director in the OCSJM office (860-242-5573) OR lynn.campbell@ for additional assistance.

PART III: APPROVAL OF APPLICATION

All Cooperative Parish Sharing Grants must be signed by the Pastor of the Parish applying for funding. Unsigned applications will be returned.

Please check the following:

← Yes, I understand and acknowledge that:

• Funds granted by CPS may be spent only for the purpose the grant was awarded.

• New budget categories may be added only with permission from the OCSJM Executive Director.

• Unspent CPS funds must be returned.

• I have reviewed and given my approval for this grant application.

Pastor’s Signature_______________________________________ Date___________

Cooperative Parish Sharing 2017-2018

Budget Form

Parish Name:

City/Town:

Project Name:

• No funds granted by CPS can be spent for any purpose other than that for which the grant was made.

• Unspent CPS funds must be returned.

.

| |NOTES | |EXPENSE |

|EXPENSES | | | |

| | | | |

|Personnel costs: stipends/salaries | |xxxxxxxxx | |

|(List individuals or positions) | |xxxxxxxxx | |

| | |xxxxxxxxx | |

| | | | |

|Activity costs: | |xxxxxxxxx | |

|Material and equipment | |xxxxxxxxx | |

|travel/fees & charges | |xxxxxxxxx | |

|Support costs: food/incidentals | |xxxxxxxxx | |

| | | | |

|Other costs: please specify: | |xxxxxxxxx | |

| | |xxxxxxxxx | |

| | |xxxxxxxxx | |

| | | | |

| |TOTAL EXPENSES | |

| | | | |

| |NOTES |INCOME | |

|INCOME | | | |

| | | | |

|Tuition/fees/charges | | |xxxxxxxxx |

| | | | |

|Fundraising (please describe): | | |xxxxxxxxx |

| | | | |

|Parish monetary support | | |xxxxxxxxx |

| | | | |

|Other income (please describe): | | |xxxxxxxxx |

| | | |xxxxxxxxx |

| | | |xxxxxxxxx |

| | | |xxxxxxxxx |

| | | | |

| |TOTAL INCOME | |

| | | |

| CPS GRANT REQUEST (TOTAL EXPENSES MINUS INCOME) | |

Cooperative Parish Sharing 2017-2018

Parish Name:

City/Town:

Project Name:

PLEASE LIST IN-KIND SUPPORT THAT THE PARISH WILL PROVIDE.

NO FINANCIAL AMOUNT IS REQUIRED

|TYPE OF SUPPORT |DESCRIPTION |

|Facility | |

|Utilities | |

|Materials/supplies | |

|Volunteers | |

|Advertising | |

|Donation of food | |

|Pro-bono professional services | |

|Other | |

| | |

| | |

Cooperative Parish Sharing 2017-2018

ATTACHMENT A: Principles of Catholic Social Teaching Worksheet

Parish Name:

City/Town:

Project Name:

Please check off all areas of social justice that your project will address:

|Life and Dignity of the Human Person |

|Develop self-worth | |

|Develop leadership skills | |

|Educate and promote about treating others with fairness | |

|Promote equality of individuals, respecting their differences | |

|Protecting and enhancing all stages of life | |

|Educate spiritually and academically | |

|Promote and practice fair conflict resolution | |

|Promote pride in cultural heritage | |

|Educate about life skills | |

|Educate about social justice issues | |

|Promote values that emphasize the inherent worth of each individual | |

| | |

|Call to Family, Community, and Participation |

|Create/develop community | |

|Develop healthy marriage and family life | |

|Helping our neighbors: errands, yard cleanup, meals, etc. | |

|Develop practices to keep families together | |

|Provide a safe multicultural environment | |

|Provide fellowship | |

|Provide spiritual formation | |

|Promote team work | |

|Develop interpersonal relationship skills | |

|Promote unity within the parish, community and multiculturalism | |

|Strengthen ties within the faith community | |

|Provide intergenerational programs | |

|Promote ecumenical initiatives | |

| |

|Rights and Responsibilities |

|Educate and empower people | |

|Advocate for the rights and needs of the disadvantaged, ie. Food, clothing, shelter | |

|Promote access to services, including social, medical, and legal | |

|Provide tutorial and summer school programs | |

|Promote and teach the value of serving the greater community | |

|Sponsor volunteer projects in youth ministry | |

| | |

|Option for the Poor and Vulnerable |

|Develop awareness and understanding of the poor and vulnerable | |

|Provide food for the hungry | |

|Shelter the homeless | |

|Provide assistance to those in need | |

|Take action to correct injustices | |

|Engage in advocacy issues that will benefit the poor and vulnerable | |

|Promote programs to assist the young and elderly | |

|Support programs that promote equal access to quality health care | |

| | |

|Dignity of Work and Rights of Workers |

|Educate about life skills | |

|Advocate for rights and needs of the disadvantaged | |

|Provide job training | |

|Sponsor volunteer projects in youth ministry | |

|Educate and promote the dignity of work for all laborers | |

|Educate and promote fair trade | |

|Advocate for a living and just wage | |

|Educate about socially responsible manufacturing of food and goods | |

| | |

|Solidarity |

|Develop community among groups and individuals | |

|Promote respect for all person’s basic rights that flow from each person’s inherit dignity | |

|Promote spiritual solidarity | |

|Build inclusive communities | |

|Promote equality amongst all peoples | |

|Educate about solidarity having global dimensions in an interdependent world | |

|Promote and educate the understanding of different cultures | |

|Develop programs that promote peace in our communities and beyond | |

| | |

| | |

|Care for God’s Creation |

|Provide education about being good environmental stewards | |

|Promote/provide activities that are environmentally responsible | |

|Support legislation that provides for good environmental stewardship | |

|Promote community gardens | |

|Promote and participate in recycling | |

|Promote energy audits | |

|Educate and promote public transportation, bicycling, walking | |

| | |

| | |

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