Submit Historic Local Church Profile

Please submit the "Historic Church Profile" to create a comprehensive file that will greatly assist us in identifying various opportunities and potential grants that are available for your local church. This document will be invaluable and instrumental throughout our collaborative efforts and work together.

Historic Local Church Profile

General Information

Church Name

First Name

Last Name

Chruch Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Church Email

Current Pastor

First Name

Last Name

Diocese

First Name

Last Name

Local Church Website

http://

Report Name

First Name

Last Name

Historic Information

Year the Church Was Founded:

Who started the local church?

First Name

Last Name

How many years have the church been in existence?

Has the local church remained in the original building of its founding?

Yes

If the Church is not in the same building, how long has the local church been in its current location?

Current Church Demographics

Current Church Membership Size

Average Weekly Attendance

Condition of the Church’s Physical Building:

Please describe the current state of the church building (e.g., well-maintained, in need of repair, etc.).

Nature of Renovations in the Last 5 Years (if any):

Please detail any significant renovations or restorations that have taken place in the past five years.

Are There Plans for Future Renovations or Expansions?

Please describe any planned renovations or expansions in the near future.

Church Facility Features (e.g., sanctuary, fellowship hall, classrooms, etc.):

Please list and describe key features of the church's facilities.

Is the local church ADA compliant?

Yes

In Progress

Please share any additional information:

Please provide any notable events, milestones, or historical moments that the church has been part of.

Submit Grant Review Application

The first step for a House of God local church to be approved for a grant submission is to have it reviewed by the Chief Overseer's Branch Office. The Keith Center will assist you in gathering important information and assessing your viability.

HOGC Grant Review Application

Name

First Name

Last Name

Title

Your Position in Local Church

Phone

(###)

###

####

Local Church Information

The following gives us information about your local church.

Name of Local Church

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Diocese

Grant Information

Answer Below to provide information about the grant.

Name of the Grant

Granting Agency

Website

http://

Grant Application Due Date

YYYY

Why do you want to apply for this grant?

Why do you feel your church is a good fit for this award?

Acknowledgment

By submitting this form you acknowledge that the local church, diocese, or any agent of the church is authorized to submit any grant bearing the name of the church until given expressed indication from the Chief Overseer's office and Presiding State Bishop.

Yes

Submit Historic Local Church Profile

Submit Grant Review Application

The Keith Center for Black Church Preservation and Innovation