Online Submission Form

FIRST! Do you have everything you need?

Before you begin the online submission form, please ensure you have all the appropriate information and documents you need to complete the online submission in one sitting.

You will need the following for your submission:

  • Applicant’s information including name, address, email, and phone
  • If form is completed by Retired Clergy Chaplain; chaplain’s name, email, and phone
  • Total amount of grant requested (Minimum grant amount is $250 and maximum is $10,000. For requests under $250, contact your Retired Clergy Chaplain)
  • Type of grant requested (housing/utility, medical/insurance, ministry needs, caregiving, other)
  • Updated ACH/Direct Deposit Form and W-9 on file with ECCT.

In addition you will need…


Grant Request Information

Be prepared to respond to the following regarding your grant request

  • What specific need is being addressed?
  • List resources you have which can be applied to this need.
  • List other resources which might assist you.
  • List other aid for which you have applied and their granting timeline.
  • If you anticipate this to be an ongoing need, what is your plan to address it long-term, as this is a one-time grant?

Current Assets & Liquid Holdings

  • Total amount of current cash & bank deposits (Inclusive of checking, savings & certificates of deposit).
  • Total market value of securities (Inclusive of stocks, bonds & mutual funds, if any).
  • Total value of other assets.

Total Pre-Tax Monthly Income

Including the following:

  • Social Security
  • Pension
  • Investment income
  • Other sources of income

Total Monthly Expenses

Including the following:

  • Rent or mortgage
  • Total of all utilities
  • Property and/or car taxes
  • Estimate of food & household expenses
  • Medical expenses
  • Any other regular monthly expenses

Do you have all your information and documents ready?