Making a Difference: Etowah Outreach Event Application

Please fill out this form and click submit.

Event Leader Name

*

Event Leaders Email

*

This address will receive a confirmation email

Event Leader Phone

*

Church Name

*

Is your church in good standing with the EBA?

*

Please select one option.

Yes No

Name of Outreach Event

*

Outreach Event Address

*

Date of Outreach Event

*

Anticipated Attendance

*

Has the pastor approved this application?

*

Please select one option.

Yes No

Does the outreach event involve working with children or youth? (If yes, each volunteer must have an up to date background check. The EBA will assist you in obtaining this.)

*

Please select all that apply.

Yes No

About how many volunteers from your church do you think will participate?

*

About how many additional volunteers are needed to help you?

*

What is the budget amount your church is dedicating to this event?

*

Request matching grant for this event?

*

Event Start Time

*

Event Date

*

Event End Time

*

Possible supplies needed

*

Is food provided for this event

*

Please select one option.

Yes No

Is food provided for volunteers

*

Please select one option.

Yes No

Describe your outreach event (100 words or less)

*

What local churches will partner in this event

*

Description

Please fill out this form and click submit.

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