New Life Micro Grant Initiation Form (Page 2 of 2) in pdf

Reviews and Approvals:

New Life Pastor Global Outreach staff liaison, signature affirms the project has been reviewed

and understood and that all requests for further information have been satisfied with pertinent

details noted herein.

Signature:

Date:

Organization Receiving Grant Funds-

Officer governing the project (same person listed under recipient organization information, this

form), in signing this project initiation form I acknowledge the following:

• That any grant from New Life Christian Fellowship, Petaluma CA, USA does not

represent employment of the grantee whether person or organization.

• That the grantee, whether person or organization, is expected to spend the funds for

the intended purpose(s) identified herein.

• That I will personally aide designated member of New Life in follow-up with any

necessary periodic accounting and/or status reporting to ensure that the funds were

used for the intended purpose(s).

New Life Christian Fellowship grants to _________________ (grantee) the sum of _____________ for

the purposes of [brief description of grantee’s operation – e.g. maintaining a church congregation,

providing services to the needy etc.]

Grantee has reviewed the instrument making the above grant and agrees to accept this grant on the

terms and conditions described herein, and to respect and abide by all such terms and conditions in the

administration, use, and disposition of this grant. _____________ [name of grantee] warrants and

represents that:

The grant is made subject to the terms and conditions specified in this instrument. The Grantee, by its

acceptance of this grant, warrants and represents that this grant shall be held, administered, and used in

accordance of all the terms and conditions enumerated herein.

Acceptance of this grant does not create any agency or employment relationship on the part of New Life

Christian Fellowship.

Printed Name:

Signature:

Date:

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New Life Micro Grant Initiation Form Page 2