Clay County IA Chapter
www.lutheransonline.com/claycountyiachapter

Forms to use BEFORE the activity begins
Before your activity begins, you'll want to check out our Care Abounds in Communities Planning Checklist. While you're here, download a copy of the funding request form and information disclosure forms if applicable.

When the forms are complete, send them to our Thrivent Board Community Service Team Director. That individual will submit the application to the local Thrivent Board for review.

Planning Checklist
Planning Checklist (PDF - 50K)
Planning Checklist (DOC - 50K)
Funding Request forms
Request for Funding (PDF - 29K)
Request for Funding (DOC - 96K)
Disclosure Forms
Permission to Disclose Information - Adult (PDF - 9K)
Permission to Disclose Information - Adult (DOC - 45K)
Permission to Disclose Information - Parent/Guardian (PDF - 9K)
Permission to Disclose Information - Parent/Guardian (DOC - 45K)
Forms to use DURING the activity
Please use this form while your activity is happening.
Attendance Sheet (PDF - 53K)
Attendance Sheet (DOC - 69K)
Forms to use AFTER the activity
Use the following forms after your activity is complete. Your Thrivent Board and Thrivent need complete documentation to expedite the processing of your project.
Activity Results Report (PDF - 21K)
Activity Results Report (DOC - 72K)
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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.