Blaine-Phillips County Chapter

Chapter Care Forms
In addition to the helpful forms below, we offer many promotional materials (table signs, posters, ads and much more) via your chapter leadership board to help publicize your activity (before and during the activity). Please contact your chapter leadership board to find out what's available. In addition, check out the Visibility Toolkit at www.thrivent.com/fraternal/visibility for great ideas on how publicize your activity.

Activity Planning Checklist
Designed to help you identify, organize, plan and implement your Care Abounds in Communities® activity.

Activity Planning Checklist
Funding Request
Complete and send to chapter leadership board for approval of Care Abounds in Communities® program funds.

Request for Funding
Permission to Disclose Information - Adult
Recipients (those who receive the help) must complete so the chapter and service team can disclose/publish recipient information for the activity.

Permission to Disclose - Adult
Permission to Disclose Information - Child
Recipients (those who receive the help) must complete so the chapter and service team can disclose/publish recipient information for the activity.

Permission to Disclose - Child
Attendance Sheet
Track attendance and provide to chapter leadership board.

Attendance Sheet
Activity Results Reporting
Complete and send to chapter leadership board to receive Care Abounds in Communities® supplemental funding.
Activity Result Reporting
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Appleton Office:
4321 N. Ballard Road
Appleton, WI 54919-0001 USA

Minneapolis Office:
625 Fourth Avenue S.
Minneapolis, MN 55415-1624 USA

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800-THRIVENT
(800-847-4836)

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Insurance products issued or offered by Thrivent Financial for Lutherans, Appleton, WI. Not all products are available in all states. Products issued by Thrivent Financial for Lutherans are available to applicants who meet membership, insurability, U.S. citizenship and residency requirements. Securities and investment advisory services are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415, a FINRA and SIPC member and a wholly owned subsidiary of Thrivent Financial for Lutherans. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc. They are also licensed insurance agents of Thrivent Financial.