Application

For staff to be eligible to be in the PIM work grant, they must be identified by a Supervisor such as an RD or ARD who has the ability to help to fund this grant.

Staff should not be filling this application out for themselves. Please complete all sections of this form carefully.

Who is filling out this form?

Your YL title

Phone #

Do you supervise this staff person?

I supervise this staff person & will be responsible for the grant funding / their success.I am filling this form out for someone who supervises this staff person.

Candidate Full Name

Candidate Staff Role/Title

Phone #

Area Number

Region

Select a region...

Division

Years on Staff

Years in Area

Proposed Start Date

Grants always start on the first of the month. To begin, an area must be funded, have built a team of 5-10, and have a case statement built. Keep this in mind when you select the proposed start month.

Describe this candidate & why you believe they are right for the program

What is the area's financial situation?

What sort of history does this area have with Young Life?

How do you plan on securing the half of the grant money ($20k)?

Final notes & comments