BOP Grant Application

To be eligible for this grant, you must be enrolled in the Presbyterian Board of Pensions transition coverage program for 2025 with coverage for BOTH spouse and dependents, and be a called and installed member of the North Central Iowa Presbytery.

Name of Pastor(Required)

First Last

Email(Required)

Phone Number(Required)

Church Address(Required)

Street Address Address Line 2 City State ZIP Code

Church Treasurer(Required)

First Last

Phone Number(Required)

2024 Cost of BOP Medical Coverage(Required)

2025 Cost of BOP Medical Coverage(Required)

Increased cost for 2025:(Required)

Please certify the following

Signature of Applicant(Required)

Submit application by clicking “submit.” You should receive a confirmation e-mail shortly.

Please certify the following

The Presbytery of North Central Iowa

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