ࡱ> wyv  bjbj =4%NN84( 44"VVV111$k!\i11VV{HHHFVVHHHHV҄H0H!!H!H1Z@H4111111!111111111N n:  Unitarian Universalist Association of Congregations First Home Grant Program Application A. Background Data: Todays date: Legal name of congregation: Mailing address: Phone: E-Mail:  Minister: Phone: E-Mail:  Contact person: Daytime phone: Evening phone: Daytime email: Evening email:  Congregational president: Phone: E-mail:  Please include the following items with your application. Your grant cannot be processed if any of these items are missing. a. Current budget b. Last years budgeted expenditures vs. last years actual expenditures c. Letter of recommendation from your Regional field staff d. Governing board verification of the amount pledged to your capital campaign e. Phase I Environmental Study f. Copy of congregational vote to approve receipt of a UUA grant g. Verification of property and liability insurance policy B. Grant Amount Requested $ __________ 1. Purchasing your first spiritual home? Yes: No:________ 2. Purchasing land for future use? Yes: _______ No: _______ 3. Purchasing land and building your first spiritual home? Yes: _______ No: _______ 4. How will you utilize a UUA grant? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ C. Capital Campaign 1. Campaign financial commitment total: $____________________ Dates of capital campaign: From ________ to ________ 2. Current congregational loans: $____________________ $_____________________total of current loans total annual debt service 3. Will current loans be retired with capital campaign funds? Yes: _______ No: _______ 4. Will current loans be retired with a UUA grant? Yes: _______ No: _______ 5. Please list any planned sale of bonds or use of personal loans: $_________________ _______% $_______________ _______% bond total interest personal loan total interest D. Project Finances1. Total project costs:2. Sources of project funding:a. Cost of land and/or building $ a. Building fund or reserves $ b. Design cost $ b. Sale of current building $ c. Construction cost $ c. Capital campaign pledges $ d. Contingency fund $ (at least 10% of construction cost)d. UUA loan $ e. Landscaping cost $ e. Bank loan $ f. Capital campaign cost $ f. Personal loans $ g. Furnishings cost $ g. Sale of bonds h. Construction financing $ (short-term bridge loan)h. UUA grant $ Total anticipated cost $ i. Other: $ Total anticipated funding $  E. Current Meeting Space Information 1. What is your current monthly rent? _____ 2. How long have you been meeting there? _____ 3. Is your space fully accessible? _____ 4. Adult seating capacity _____ 5. Number of rooms for religious education _____ 6. Number of program/fellowship rooms _____ 7. Number of off street parking spaces _____ 8. Number of handicap parking spaces _____ 9. Number of designated visitor parking spaces _____ F. First Spiritual Home Information 1. Is your new space fully accessible? _____ 2. Adult seating capacity _____ 3. Number of rooms for religious education _____ 4. Number of program/fellowship rooms _____ 5. Number of off street parking spaces _____ 6. Number of handicap parking spaces _____ 7. Number of designated visitor parking spaces _____ G. Current Finances 5 years ago 3 years ago current fiscal year 1. Number of contributing household units 2. Average financial commitment amount $ 3. Median financial commitment amount $______ $______ $______ 4. Total restricted funds (endowment) $______ $______ $______ 5. Total unrestricted funds $______ $______ $______ 6. Annual contribution to UUA $______ $______ $______ 7. Percent of suggested annual fair share ______% ______% ______% H. Cash Flow Projection Spreadsheet Please use the associated excel spreadsheet which can be downloaded on-line on the UUAs web site. I. Membership Growth Plan The Unitarian Universalist Association First Home Grant Program is intended to facilitate the growth of the UUA by providing financing for congregations seeking to purchase their first piece of land and/or building or to construct their first spiritual home. We recognize, however, that if growth is to be realized, congregations must plan their membership strategy as carefully as they plan their facilities. This guide is designed to help you develop an effective membership plan. 1. Congregational Data a. Congregational membership: 5 years ago _____ 2 years ago _____ currently _____ b. Projected membership: in 2 years _____ in 4 years _____ in 5 years _____ c. R.E. membership: 5 years ago _____ 2 years ago _____ currently _____ d. Projected R.E. membership: in 2 years _____ in 4 years _____ in 5 years _____ 2. Community Demographics a. Total population of the area from which you draw your members: __________ b. Other UU congregations in this demographic area: _____________________________________________ c. Demographic area population: 10 years ago_____ 5 years ago _____ currently _____ d. Projected population: in 5 years _____ in 10 years _____ in 15 years _____ 3. Congregational Vision and Mission a. Please indicate your congregational vision or mission statement and date of adoption: ______________ _____________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ b. Please indicate the process used to develop this statement: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. Membership Growth Goals (Please attach a copy of your membership growth plan document to supplement this information.) a. Please indicate your membership growth goals: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5. Membership Growth Initiatives a. Please explain your plan to attract visitors: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ b. Please explain your plan to welcome and integrate newcomers: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ c. Please explain your plan to develop a spirit of financial generosity within the congregation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ d. Please explain your plan to increase the racial, ethnic and cultural diversity of your congregation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ J. Field Staff Recommendation Directions: Please ask your Regional field staff representative to complete the following recommendation. When completed, it can be submitted directly to: Unitarian Universalist Association Building Loan Program 24 Farnsworth St Boston, MA 02210 Or by email at: buildingloans@uua.org Your application cannot be processed without this completed recommendation. Date: Name of staff: Name of Region: Name of congregation requesting a UUA grant:  1. Are you familiar with the congregations project? Yes _____ No _____ 2. Have you reviewed their grant application? Yes _____ No _____ 3. Do their growth projections seem reasonable? Yes _____ No _____ (Please include a note of explanation if their growth projections are unrealistic.) 4. Do you have any concerns about their project? Yes _____ No _____ (Please include a note of explanation if you have any concerns.) 5. Do you recommend approval of this application? Yes _____ No _____ Please elaborate upon your recommendation: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ K. Required Minimum Limits of Insurance Coverage Note: If you are insured by any firm other than Church Mutual, please obtain a quote from them. Church Mutual can be contacted at 800.554.2642. Real and Personal Property: Special Form, All Risk Blanket Coverage  building and contents Replacement Cost Coverage  up to the limits of the policy Agreed Amount Coverage Minimum Deductible (consider $500 and $1,000 quotes) Backup Sewer and Drains Coverage $100,000 Building Ordinance Coverage. Includes Contingent Liability from Operation of Building codes, Demolition, and Increased Cost of Construction Flood, if in a recognized flood plain Earthquake, if in an earthquake-prone zone Casualty: $1,000,000/$3,000,000 Liability Limit $5,000 Premises Medical Coverage $1,000,000/$3,000,000 Counseling Professional Liability Limit $100,000/$300,000 Sexual Misconduct Liability Limits  Minimum Limits $1,000,000 Trustees, Officers, Employees and Volunt#4Z[o~$ & I K L i k s t u v | ~  {v{ hdIf5hT=hlM5hbShB05CJaJhsbhlMCJaJhbShlM>*CJaJhbShlMCJaJhbShlM5CJaJhsbhlM>*CJaJhlM5CJ\aJhB05CJ\aJhB05CJ$\aJ$hB0hlM5CJ$\aJ$hlMCJaJ.5NZ[o !dh$7$8$H$IfgdbS  dh7$8$H$gdlM dh7$8$H$gdlM0dh7$8$H$]0gd_ $7$8$H$a$gdA~ 7$8$H$gdlM y !dh$7$8$H$IfgdbSpkd$$IflY,"" t0644 lap ytbSyy tdh$7$8$H$IfgdbSpkd$$IflY,"" t0644 lap ytbSvjU !dh$7$8$H$IfgdbS dh7$8$H$gdlMkd $$Ifla0,"LL t0644 lapytbSt_ tdh$7$8$H$IfgdbS p@ tdh$7$8$H$IfgdbSnkd$$Ifl,"" t0644 lap ytbSxlW !dh$7$8$H$IfgdbS dh7$8$H$gdlMkd$$Ifl0,"LL t0644 lapytbS % t_ tdh$7$8$H$IfgdbS p@ tdh$7$8$H$IfgdbSnkd$$Ifl,"" t0644 lap ytbS% & : J x]H tdh$7$8$H$IfgdbS p@ tdh$7$8$H$IfgdbSkd,$$Ifl0,"LL t0644 lapytbSJ K L j xlV !!dh$7$8$H$IfgdbS dh7$8$H$gdlMkd$$Ifl0,"LL t0644 lapytbSj k t } {{ tdh$7$8$H$IfgdbSnkdD$$Ifl,"" t0644 lap ytbS} ~   l 7 xl>>>>>.dh$d%d&d'd7$8$H$NOPQgdlM dh7$8$H$gdlMkd$$Ifl0,"LL t0644 lapytbS  & o z   : F $ 3 ? 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