Get involved in your church! Serve at First Free Rockford.

Contact Information
Name*
First Last
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
I am a member of First Free Rockford*
- Yes
- No
I am actively serving as a volunteer in the organization I'm requesting a Jeremiah Fund grant for.*
- Yes
- No
I am willing to personally deliver the grant.*
- Yes
- No
Grants from the Jeremiah Fund will only be distributed to organizations where First Free Rockford members are actively serving as volunteers. Members must be willing to personally deliver the grant check.

If you are not a member, please consider becoming one. Learn more about membership on the First Free Rockford website.

Organization Information
Tell us about the organization you are seeking a grant for and your involvement in their work.
Organization Name*
Executive Director's Name*
Executive Director's Email*
Eligibility
To be eligible for a grant from The Jeremiah Fund, organizations must meet a variety of criteria. Please answer the questions below to the best of your ability.
This organization is a local, registered 501(c)3 non-profit*
- Yes
- No
This organization is morally positive and spiritually neutral or Christian faith-based.*
- Yes
- No
Is this organization political in nature?*
- Yes
- No
This organization seeks the flourishing of the Rockford area.*
- Yes
- No
If the organization you are seeking a grant from The Jeremiah Fund for does not meet the eligibility criteria set by the First Free Rockford Board of Elders, First Free Rockford will be unable to give a grant from the Jeremiah Fund to this organization.
Organization Address*
Please include full mailing address.
Organization Website Address*
What is the mission of this organization?*

Personal Involvement Information
We want to hear your story of listening, learning, and living in the city of Rockford.
How do you see this organization contributing to the flourishing of Rockford?*
How did you hear about this organization?*
What drew you to volunteer with this organization?*
In what role(s) have you served with this organization?*
Tell us one story about your service with this organization.*
My answers on this application may be used to develop church-wide and web-based (public) communications.*
- Yes
- No
Thank you for taking the time to apply for a grant from The Jeremiah Fund. Please press "submit" below to complete your application.

Serve at First Free Rockford