OmneGospel Grant Application Form

SECTION A: Applicant Information

Full Name: Email: Type of Applicant: Amount Request: Reason for Request:

SECTION B: Supporting Documents

Photo ID (Upload): Proof of Residence (Upload): Additional Documents (Up to 3 files): Did you upload all required documents? Yes No

SECTION C: Consent & Signature

I confirm all information provided is accurate: Yes No I consent to OmneGospel storing and using this information for grant assessment and contact: Yes No Draw Your Signature Below:

OmneGospel Grant / Assistance Application Form