Missionary Commitment Response Form For 2013, our congregation commits the following in support of the Missionary Budget of the Diocese of Texas and the Budget of The Episcopal Church in the United States of America: **Please do not include your assessment figures anywhere on this form.** A) Specific Allocations to Ministries in the Diocese of Texas Only Money pledged to this category will be allocated as directed by your congregation on the attached Specific Allocation Form to ministries in the Diocese of Texas only. If you elect this option, Part A: Specific Allocation Form must be completed and attached. B) The Episcopal Church in the United States of America (ECUSA) Money pledged to this category will be sent to ECUSA to be used at its discretion. Please only report your ECUSA commitment you will send through the Diocese. C) Allocation by Executive Board (Diocese of Texas Ministries Only) Money pledged to this category will be allocated by the Executive Board, at their discretion, to ministries in the Diocese of Texas only. Our Total Missionary Commitment for 2013: Local Outreach Total for 2013 (See Local Outreach Page) Include total for all projected contributions to Local Outreach for 2013, in addition to the Total Missionary Commitment stated above. Name of Parish/Mission: City of Parish/Mission: By: By: Rector/Vicar Senior Warden/Bishop s Warden Contact Person: Phone Number: Email Address: Please check one. I would prefer to be contacted by: Phone Email All completed forms must be postmarked, faxed, or emailed to Allison McCloskey by November 26, 2012. Telephone: 713/5206444, ext. 1018 Fax: 713/5212218 Email: amccloskey@epicenter.org 1
PART A1: SPECIFIC ALLOCATION FORM PLEASE FILL IN THE DOLLAR AMOUNT BESIDE THE MINISTRY OR CATEGORY YOU WISH TO SUPPORT (WHOLE DOLLARS ONLY) Catalog % of Mission Missions Code # Requested Committed Budget WHOLE CATEGORY Specific Allocation by Executive Board M13 1,685,300 71.3% Mission Clergy Travel M131 15,000 Calling and Moving Clergy M132 New Mission Work M133 30,000 Manor, St. Mary Magdalene M134 150,000 Austin, St. Julian of Norwich M135 150,000 Houston/Alief, Christ the King Episcopal Church M136 22,000 Houston, Lord of the Streets Episcopal Church M137 42,000 Austin, San Francisco de Asis Episcopal Church M138 Houston, San Pablo Episcopal Church M139 85,000 Houston, Iglesia Episcopal Santa Maria Virgen M1310 70,000 Houston, St. Alban's Episcopal Church M1311 70,000 Houston, St. Barnabas M1312 35,000 Tyler, St. John's, Tyler M1313 15,300 Baylor University Mission M1314 Rice University Mission M1315 Texas A&M University Mission M1316 180,000 University of Texas Mission M1317 160,000 Campus Missions M1318 350,000 Prison Missions M1319 66,000 Outreach Code # Requested Committed WHOLE CATEGORY Specific Allocation by Executive Board OT13 342,800 14.5% Navasota, ChildrenatRisk Camp Allen Scholarship Fund OT131 41,400 Houston, Community of the Streets OT132 6,700 Austin, El Buen Samaritano OT133 7,500 Episcopal Community Outreach Ministries OT134 Houston, Seafarers' Ministry OT135 42,600 Galveston, St. Vincent's House OT136 26,600 World Mission OT137 33,000 Diocesan Commitment to the Millennium Development Goals OT138 Companion Diocese of Southern Malawi OT139 40,000 PART A1 CONT'D ON NEXT PAGE 2
PART A1 CONT'D: SPECIFIC ALLOCATION FORM % of Formation Ministries Code # Requested Committed Budget WHOLE CATEGORY Specific Allocation by Executive Board FM13 213,200 9.0% Addiction Recovery FM131 7,700 Commission on Black Ministries (COBM) FM132 Commission on Hispanic Ministries FM133 The IONA Center FM134 Intercultural Ministry FM135 100,000 Liturgical Commission FM136 1,000 Music Commission FM137 10,300 Spiritual Formation FM138 9,200 Division of Youth/Young Adult Ministry FM139 Bishop's Mission & Program Contingency Code # Requested Committed WHOLE CATEGORY Specific Allocation by Executive Board B13 35,000 1.5% Support for Parishes B131 20,000 Program B132 5,000 Clergy Career Counseling B133 Consultants for Congregations B134 5,000 Consultants for Schools B135 Cooperative Projects Code # Requested Committed WHOLE CATEGORY Specific Allocation by Executive Board CP13 11,100 0.5%. Epiphany Community Health Outreach Services (ECHOS) CP131 Teneha, Health Outreach for East Texas The Hope Project CP132 2,600 Piedras Negras, Mexico Iglesia El Buen Pastor CP133 1,900 Bay City, Matagorda Episcopal Health Outreach Program (MEHOP) CP134 4,100 Code # Requested Committed Support for Budget Shortages UC13 75,000 3.2% 2,362,400 GRAND TOTAL (Use this number to complete Line A of the Missionary Commitment Response Form) PLEASE RETURN FORMS BY NOVEMBER 5, 2012 TO ENSURE YOUR PRIORITY FUNDING CHOICES ALL FORMS MUST BE EMAILED, FAXED OR POSTMARKED NO LATER THAN NOVEMBER 26, 2012 3
PART A2: ALTERNATE CHOICES IF ANY OF THE MINISTRIES THAT WERE CHOSEN IN PART A1 ARE ALREADY FULL, PLEASE SEND OUR FUNDS TO: DO NOT LIST THE SAME SELECTIONS AS CHOSEN IN PART A1. Please list at least 3 choices. Choices can include whole categories or Executive Board Decision. Name of Ministry or Category Catalog Code # Amount Unless otherwise noted, alternate choices listed above will be filled in the order listed. If no alternative choice is listed, funds will be applied through Executive Board decision. 4
LOCAL OUTREACH PROJECTION FORM Please tell us of the work your congregation is doing locally, apart from the Missionary Commitment. We record these amounts as part of your overall outreach effort, but please note that they are not included as part of your Missionary Commitment. Name of Parish/Mission: City of Parish/Mission: Name and Location of Project or Outreach Organization Description of Program Amount to be contributed by your church in 2013 If you would like to report any additional world mission involvement/grants, please note those here as well. Description of Program Amount to be contributed by your church in 2013 TOTAL AMOUNT PLEASE DO NOT INCLUDE THE AMOUNT OF YOUR MISSIONARY COMITTMENT ON THIS PAGE 5