Mid Willamette Chapter
Coordinators: These forms are fillable in Adobe Acrobat Reader or may be printed and filled in by hand.

size:751.12 K
Funding Request Questionnaire Form

size:561.62 K
Prefunding Request Form #1 (Appleton)

size:994.24 K
Prefunding Request Form #2 (Board)

size:553.14 K
Report for Funding Activity Results

size:476.25 K
Permission to Disclose Information Form
Those who receive assistance must complete a Permission to Disclose Information form. This signed form provides Thrivent Financial permission to use, disclose and publish the recipient’s name and other related information about the recipient for the purpose of planning, conducting, advertising and communicating the results of an activity for the recipient’s benefit.

size:514.25 K
Permission to Disclose Information - Parent/Guardian
A parent, guardian or other legal representative of a minor child or incompetent recipient (one who receives the help) must complete a "Permission to Disclose Information" form. This completed form provides Thrivent Financial for Lutherans with permission to use, disclose and publish the recipient's name and other pertinent information about the recipient for the purposes of planning, conducting, advertising and communicating the results of a fund-raising activity for the recipient's benefit (e.g., to publicize the fund-raising activity).
Links Within our Site
 Home Page  2009 Chapter Board Minutes
 About Our Chapter  2010 Chapter Board Minutes
 Meet our Chapter Leaders  Chapter Newsletters
 Resource Links and Chapter Forms  Happenings in the Mid Willamette Valley
 Upcoming Important Dates  Feedback
 2008 Chapter Board Minutes  
 

Appleton Office:
4321 N. Ballard Road
Appleton, WI 54919-0001 USA

Minneapolis Office:
625 Fourth Avenue S.
Minneapolis, MN 55415-1624 USA

Contact Us
800-THRIVENT
(800-847-4836)


Insurance products issued or offered by Thrivent Financial for Lutherans, Appleton, WI. Not all products are available in all states. Products issued by Thrivent Financial for Lutherans are available to applicants who meet membership, insurability, U.S. citizenship and residency requirements. Securities and investment advisory services are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415, a FINRA and SIPC member and a wholly owned subsidiary of Thrivent Financial for Lutherans. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc. They are also licensed insurance agents of Thrivent Financial.