Lazarus Fund Church Application

Lazarus Fund Church Application
This form is to be used by member congregations of Pittsburgh Presbytery as a means of applying for Lazarus Fund grant money.

IMPORTANT NOTE: The interviewer involved in the process must use the Lazarus Fund Intake form with all applicants to create records of the appointments.

Please email Jenny Petrantoni if you have any questions.
Date*

MonthDayYear
Date
Name of Congregation*
Contact Name*

First NameLast Name
Contact Email*
Contact Phone Number*

Area CodePhone Number
Amount Requested*
Should be Empty: