Francis Fund – Individual Application - Roman Catholic Diocese of Greensburg

Francis Fund – Individual Application

Youth scholarships will be provided for registrations up to $300. Adult scholarships will be provided for registrations up to $500.

Name(Required)

First Last

Date

Address(Required)

Street Address City ZIP Code

Home Phone(Required)

Cell Phone

Registered Parishioner At(Required)

Attending Event With Parish(Required)

Email(Required)

Enter Email Confirm Email

Ministry/Parish Involvement(Required)

Title of Workshop, Conference, Seminar, Course(Required)

Start Date of Event(Required)

Is this a Youth Event?(Required)

For this event I will be 18 (or over) and out of high school.(Required)

Please email copies of your Clearances, Virtus, Code of Conduct sign off, and Reporting Training to [email protected].

Please answer the following three questions.

Complete birthday:(Required)

Age during the event:(Required)

High School Graduation (Best Estimate if Unknown)(Required)

Please complete each of the boxes in the charts below.

Fees

Total Conference Fee:

(With meals, transportation, etc.)

Registration Fee:

Projected Amount Needed:

TOTAL SCHOLARSHIP REQUESTED:(Required)

(Must be equal to or less than Conference Registration Fee)

Credits

Parish Subsidy Amount:

Paid by Individual:

Fundraising Amount:

Other Funding:

TOTAL:

Please write a narrative below, of 100 words or more, describing how this event will contribute to the development of your faith or to your preparation for ministry.(Required)

Please email the following items to [email protected].

If this is an adult event or a non-diocesan sponsored youth event, please send a copy of your registration or copy of your invoice so that we can verify cost and know where to send funding.
If this is a youth event, please email a copy of all clearances

Applicant Signature(Required)

(Please type your name)

Signature Consent(Required)

I consent

By checking this box, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By checking this box you consent to be legally bound by this Agreement’s terms and conditions.

Deadlines:

August 31, October 31, December 31, February 28, April 30, June 30

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Francis Fund – Individual Application