Parish Grant Application

- Emergency Assistance Parish Grant Information
  
  Any parish within the Diocese of Cheyenne may request a grant. The average grant range will be between $500-$1,000.
  
  Parishes that recieve a grant will be asked to submit a report and provide a testimonial story on activities for purposes of helping Catholic Charities of Wyoming report on the impact to donors and foundations.
  
  Upon grant approval, an email will be sent to notify the parish applicant. Catholic Charities of Wyoming will provide grant funds via electronic transfer.
  
  "Lord, teach us to step outside ourselves. Teach us to go out into the streets and manifest your love." ~ Pope Francis
- Emergency Assistance Parish Grant
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Date of Request REQUIRED Please fill out this field. Please enter a date.
  
  Parish Information
  
  Parish Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  County REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Office Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Pastor Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Pastor Email REQUIRED Please fill out this field. Please enter an email address.
  
  Food Pantry Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Food Pantry Contact Email REQUIRED Please fill out this field. Please enter an email address.
  
  Contact Person Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Name of Program/Pantry REQUIRED Please fill out this field. Please enter valid data.
  
  Application Questions
  
  On Average, how many people does your food pantry or program serve per month? REQUIRED Please fill out this field. Please enter an integer (number).
  
  Does your community have a food pantry/bank? REQUIRED Please fill out this field.
  
  On Average, how many people are served by the community food pantry/bank per month?
  Leave field blank if you selected "No" on the previous question
  Please enter an integer (number).
  
  On average, how many people come to your parish requesting assistance per month? REQUIRED Please fill out this field. Please enter an integer (number).
  
  What are the average age ranges of people looking for assistance? REQUIRED Please fill out this field. Please enter valid data.
  
  In what ways are you serving people with your program? REQUIRED Please fill out this field.
  
  Are you able to adequately serve the people who come requesting services? REQUIRED Please fill out this field.
  
  What is the amount your parish is requesting? REQUIRED
  The average grant range will be between $500-$1,000.
  Please fill out this field. Please enter valid data.
  
  By selecting "I Agree" you are certifying that you agree to the following requirements:
  
  1. Received permission from your parish pastor to apply for the Emergency Assistance Parish Grant.
  
  2. Agree to submit a final report if your program is approved for grant funds.
  I Agree Please select this field.
  
  Submit
  
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