Native Church – Application for Project Assistance (SF) Step 1 of 6 16% InstructionsPlease make sure that you have all this information before you begin filling in the form. All fields must have information in them, otherwise the system will not accept it and your application will not go to the Native Church Program office. You will have to start all over! Use use this list to make sure you have everything BEFORE your begin. Supervisor: Your name. As the supervisor you are the one who submits this application and accepts responsibility for the funds, reports and pictures. Supervisor Responsibilities: Your commitment to provide a progress report and photo and the final report and photo at the right time. Supervisor Church Visits: Write clearly how often you personally visit this church in the course of your activities? Church Name: Please give the full name of the church. Church Address: Please give the full street address for the church. Get the address from the local government if needed. Please do not abbreviate names of towns or districts. For example, you will know what Dt. GH means, but we do not! Church Membership: How many members does the church have now? Give as accurate a number as possible. Indicate how many are adults, youth, and children. Amount asked for (U.S. dollars): How much does the church request to complete the roof? Give the amount in US dollars. If you do not know that, give it in the local currency. What will the funds be used for?: How will the funds be used? Building Size (Length/Width): Please give the inside measurement of the church in either feet or meters. Building Plans: Obtain and send the approval form by email. The document must have a government agency seal or stamp Church Completion: Will the church roof be completed within 12 months of sending the application, even if the building is not completed? Church Completion Date: What is the estimated time for the roof to be completed? Other Organization Financial Help: Does this church receive financial help from any other organizations?, please state YES or NO, and give some details such as the name of the organization. Cost Estimate for Completion: How much is needed to complete the entire building? Supervisor InformationThis is the person who is submitting this application and accepting responsibility for the funds, reports, and pictures.Supervisor Name(Required)Your name. As the supervisor you are the one who submits this application and accepts responsibility for the funds, reports and pictures. First Last Supervisor Responsibilities(Required)Your commitment to provide a progress report and photo and the final report and photo at the right time. I as supervisor will faithfully provide a progress report, photo, and a final report with pictures when the church is completed.Guidelines and Instructions(Required)Read and follow the guidelines and instruction in the document you received when you first applied to be a supervisor for the Native Church Program. Then check here – be honest! – if you have read it. I have read and will follow the guidelines and instruction in the document I received when I first applied to be a supervisor for the Native Church Program.Supervisor Phone(Required)Use the format +264-61-270123Supervisor Email(Required) How often do you personally visit this church in the course of your activities?(Required)Once a weekOnce a monthOnce every 2 monthsPhoto of the Church Building(Required)Please upload a photo that meets the requirements of the Native Church Program. There must be congregation members in the photo.Accepted file types: jpg, jpeg, png, gif. Please provide name and address details of people familiar with you and your ministry.This is the person who is submitting this application and accepting responsibility for the funds, reports, and pictures.Person 1 (First and Last Name) First Last Person 1 – Address details Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Person 1 – TelephoneUse the format +264-61-270123Person 1 – Email ——————————————-Person 2 (First and Last Name) First Last Person 2 – Address details Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Person 2 – TelephoneUse the format +264-61-270123Person 2 – Email Not a Family member or a Member in your ChurchNot a family member or someone in your church, must send a recommendation for you by email to nickie.geldenhuys@cfni.org. Without this recommendation, your application is incomplete.Person 3 (First and Last Name) First Last Person 3 – Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Person 3 – TelephoneUse the format +264-61-270123Person 3 – Email Church Name / Location InformationChurch Location(Required)Please provide the name of the city / town where the church is located. Church Name(Required)Please give the name of the church. Example: Church of Living Hope, (No more than 54 characters please). The district or region’s name is not required.Church Address(Required)Please give the full street address for the church. Get the address from the local government if needed. Please do not abbreviate names of towns or districts. For example, you will know what Dt. GH means, but we do not!Church Country(Required)Please give the country where the church is located.Church Membership – Adults(Required)How many members does the church have now? Give as accurate a number as possible. Please enter a number from 1 to 1000000.Church Membership – Youth(Required)Please enter a number from 1 to 1000000.Church Membership – Children(Required)Please enter a number from 1 to 1000000.Pastor's Name(Required) First Last Pastor's Phone(Required)Pastor's Email(Required) Request InformationAmount asked for (U.S. dollars)(Required)How much does the church request to complete the roof? Give the amount in US dollars. If you do not know that, give it in the local currency.What will the funds be used for?(Required)How will the funds be used?Building Size Measurement (indicate Feet or Meters)(Required) Feet Meters Building Size – Length(Required)Please give the inside measurement of the church in either feet or meters.Building Size – Width(Required)Please give the inside measurement of the church in either feet or meters.Have building plans been approved by whatever government agency necessary?(Required)Building Plans: Obtain and send the approval form by email. The document must have a government agency seal or stamp Yes No Will the church be completed in 12 months or less?(Required)Will the church roof be completed within 12 months of sending the application, even if the building is not completed? What is the estimated time for the roof to be completed? Yes No Estimated time for completion(Required)What is the estimated time for the roof to be completed?Are you receiving help from other organizations for this project?(Required)Does this church receive financial help from any other organizations?, please state YES or NO, and give some details such as the name of the organization. Yes No If yes, please give details(Required)Cost estimate for work remaining to be done (U.S. dollars)(Required)How much is needed to complete the entire building? Agreement and SignatureREQUIRED ADDENDUM TO NATIVE CHURCH PROGRAM APPLICATION(Required)REQUIRED ADDENDUM TO NATIVE CHURCH PROGRAM APPLICATION It is understood and agreed by the supervisor that by submitting this application, he or she admits that the application is done in compliance with the procedures and spirit of the Native Church Program. Any breach could lead to withdrawal of Native Church Program supervisor status. The Supervisor and/or pastor and/or representative/s of the church applying for financial assistance through the Native Church Program, understand and agree that Christ For The Nations, Inc. * Becomes the owner of all photos, documents, forms, and information submitted as a part of the application process and reports; * Has full authority to use photos and other information, including the history of the congregation, for promotional and development purposes; * Is not required to, and will not, engage in correspondence about questions or disputes arising out of the project, other than the ministry’s standard procedures and interaction regarding Native Church Program projects; * May withhold a reasonable and legal percentage of funds raised for given projects, to cover costs incurred by the Christ For The Nations, Inc.; and Applicants for financial assistance, and any and all persons associated with such Applicants, agree that Christ For The Nations, Inc. shall not be liable for any actions taken by the ministry in connection with the project nor through the use of photographs or other information concerning the Applicant or its members, and agree to hold Christ For The Nations, Inc. harmless from and against any and all claims arising there from. I agree to the REQUIRED ADDENDUM TO NATIVE CHURCH PROGRAM APPLICATION.Reporting Requirements(Required)WE REQUIRE COPIES OF DATED RECEIPTS OF PURCHASES ON THE FORM OF THE SUPPLIER, ALONG WITH THE PROGRESS REPORT, FOR EVERY CHURCH APPROVED FOR $3,000 AND MORE. FAILURE TO DO SO MAY LEAD TO DELAYED OR SUSPENDED FUNDING. I agree to the listed reporting requirements.Supervisor Digital Signature(Required)Please submit your full name (first and last) to indicate your agreement with all of the items submitted on this application.Signature(Required)Please write a short history of the church here, according to the guidelines given in the document you received when you agreed to be a supervisor. Please do not let the pastor of the church write it. Please keep it to about 500 words.(Required)Separately, please email a photo of the church the way it is at the time you submit this application. For the format, please refer to and follow the guidelines given in the document you received when you agreed to be a supervisor. Δ