Week of Compassion
Partner Grant Application
(Print Copy)

Name of congregation (or sponsoring Disciples body):






Name, address, e-mail, and phone of trip leader or coordinator:








Place and partner of mission trip:








Date of mission trip:




Number of participants:




Has contact and coordination been made with the Office of Disciples Volunteering and/or Division of Overseas Ministries?
YES NO




Statement of Purpose (a brief paragraph about the nature of the project and how it is part of the church's wider mission and Week of Compassion's purpose and priorities:

________________________________________________________________
(Signature of work trip leader)

________________________________________________________________
(Signature of pastor, associate pastor or other congregational leader)