| Name of Applicant (Name of Local Church, Lead Church if a Group, Association or Conference) |
|
| Contact Person |
|
| Title of Contact Person |
|
| Address Line 1 |
|
| Address Line 2 |
|
| City |
|
| State |
|
| Zip |
|
| Phone |
|
| Email |
|
| Fax |
|
| Conference |
|
| Association |
|
| Any Partner Applicants? (If no, skip the next two questions) |
|
| Name(s) of Partner Applicant(s) |
|
| Briefly describe your rationale for applying as a group. |
|
| What kind of advertising would be funded by this grant (check all that apply) |
|
| Radio Ad(s) You Will Air (check all that apply) |
|
| TV Ad(s) You Will Air (check all that apply) |
|
| If you are running print ads, how will the ad incorporate Stillspeaking branding (colors, comma, phrases, etc)? |
|
| On which station(s) or publication(s) will your ads appear? |
|
| During what timeframe will your ad run? (e.g., from 3/10/09-4/31/09) |
|
| For TV/Radio: how frequently will your ads run? (e.g. 6 times a day, M-F) |
|
| Estimated number of listeners/readers you expect to reach during the course of the ad run. |
|
| Demographics of your media audience. |
|
| Geographic coverage of the station(s)/publication(s) |
|
| Total Cost of your media purchase |
|
| Dollar amount requested from Media with a Mission (You may request up to 40% of the total cost. The maximum request for single churches is $2,000; the maximum request for groups is $4,000.) |
|
| Describe your ongoing outreach/messaging activities, including any increased efforts you will implement during the radio campaign. (150 word maximum) |
|
| Describe how you welcome and follow up with/further engage visitors. Are you adding new practices for this campaign? (150 word maximum) |
|
| Describe how your church expresses the Stillspeaking message. (150 word maximum) |
|
| If you receive a grant, do you promise to complete all reporting requirements, including filling out a narrative survey and tracking worship attendance during the ad run? (For group applicants, all participants must agree). |
|
| Does your church (each church for groups) have a Stillspeaking banner outside? |
|
| If you live in a community that does not allow outdoor banners, please describe what other methods you use to make your building visible to visitors as a congregation that embraces the Stillspeaking message. |
|
| Is there anything else you would like to share with us? (150 word maximum) |
|
| |
|
