Members may use this form to submit a Funding Request to the North Oregon Coast Chapter Leadership Board. Requests will be discussed at the next chapter meeting. Please note: A minimum of six (6) Thrivent Financial for Lutherans member households must be involved in the activity to qualify for funding. Be sure that all required fields are completed!!

indicates a required field.

Your Name:
Your Home Phone Number:
Your Church:
Organization/Individual/Cause to Support:
Organization/Individual/Cause's Street Address:
Organization/Individual/Cause's City, State & Zip Code:
Project Name:
Proposed Project Date:
Project Description (please elaborate):
Purpose for which funds will be used:
Is this a Fundraiser, Hands on Work Project, or Collection/Appeal?
Is this project being cohosted with another organization (such as your church or a local community group)?
If cohosting the event, please enter name of the church or organization you will be working with:
Esitimated Number of Thrivent Households Participating:
Estimated Total Number of Volunteers:
If Fundraiser or Collection/Appeal - Estimate Amount to be Raised:
If Fundraiser or Collection/Appeal - Amount of Supplemental Funds Requested:
If Hands on Work Project - Estimate Total Cost of Project:
If Work Project - Amount of Funding Requested:
If Work Project - Are you requesting 50% of funding to begin the project?
Any additional Comments:
Your E-mail Address

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Thrivent Financial for Lutherans, Appleton, WI 54919-0001, is authorized to conduct business in all 50 states and the District of Columbia. NAIC # 2938-56014. Products issued by Thrivent Financial for Lutherans are available to applicants who meet membership, insurability, U.S. citizenship and residency requirements. Not all products described are available in all states. Thrivent Financial representatives are licensed insurance agents. Insurance and retirement products, where available, are individual contracts, (not group coverage), and issued by Thrivent Financial for Lutherans. Investment products are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415-1665, a wholly owned subsidiary of Thrivent Financial for Lutherans. Member FINRA. Member SIPC. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc.