Pastor Health & Wellness Fund Application

Purpose: This fund is intended to support pastors with health and wellness needs. Applications are kept strictly confidential.

Maximum Gift: $265 per pastor per calendar year.

Submission Instructions: Please be sure to hit SUBMIT at the bottom of this application. If you have questions or need assistance in completing this form, please email Kay Caudle, kay.caudle@potomacbaptist.net or call the PBA office at (301) 274-5116.

Applicant Information

Funding Request

Confidentiality Statement

All information provided in this application will remain confidential and will only be reviewed by the designated fund administrators.