TPUSA Faith Activism Grant

First Name: *

Last Name: *

Email: *

Phone Number (No spaces or dashes) *

Church Name or Group (No Abbreviations) *

Has your faith group worked with a TPUSA Faith Representative? *

Yes, I've been working with: Yes, I've been working with:

Name of Faith Group Hosting Event: *

Briefly describe the purpose/mission of this event: *

Is the host organization officially registered/recognized by the church? *

Event Name / Official Title *

Is this a partisan event? *

Yes

Expected Event Date * +

Event Location *

Expected Attendance *

Funding Request Amount *

How do you plan to advertise for your event? *

How will TPUSA benefit from this event? How will our mission be accomplished? *

Are other organizations funding this event? Explain. *

Briefly explain how the funds provided by TPUSA will be used, include an itemized budget list of how the funds will be used. *

Additional Comments