Seminary Debt Reduction Grant

Personal Information

Name

First Last

Gender

Male

Female

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Birth Date

MM slash DD slash YYYY

Marital Status

Married

Single

Number of Dependents

Please select the number of your dependents

Dependents

Please list the names and ages for each of your dependents.

Name

Age

School and Student Loan Information

Seminaries Attended (list present school first)

School

Dates Attended

GPA

Year

Scholarships

Please list any scholarships received while in seminary.

Scholarship Name

Amount Received

Year

Honors and Awards

Briefly list any academic honors or rewards received while in seminary.

Student Loans

List student loans received while in seminary.

Loan Name

Amount

Year

Current Balance

Pre-Seminary Loans(Required)

Do you have any pre-seminary student loans?

Yes

List Preexisting Loans

Please list any preexisting loans.

Institution

Date

Loan Amount

Current Balance

Personal Finances

Applicant Current Annual Income(Required)

Please enter your current annual income:

Spouse's Current Annual Income

If married, please enter your spouse's annual income:

Car Loan

Do you have automobile loan payments?

Yes

Automobile Loan Payment Amount

Please enter the total per month payment amount for your automobile loan(s).

Home Mortgage

Do you have home mortgage payments?

Yes

Home Mortgage Payment Amount

Please enter the total per month payment amount for your mortgage(s).

File Uploads & Certification

Please include the following files:

Transcript(s)

Copy of seminary transcript(s) (max upload size 200mb)

Accepted file types: pdf, doc, jpg, png, pages, Max. file size: 2 GB.

Student Loan Statements

Copy of your most recent student loan statements (max upload size 200mb)

Accepted file types: pdf, doc, jpg, png, pages, Max. file size: 2 GB.

Certification(Required)

I certify that, to the best of my knowledge, the information contained in this application is correct and complete.

Tax Liability Acknowledgement(Required)

I understand that any debt reduction awarded is taxable income to me and will be reported to the IRS via 1009-MISC.

Signature(Required)

I understand that any debt reduction awarded is taxable income to me and will be reported to the IRS via 1009-MISC. Please enter your full name.

Signature Date(Required)

MM slash DD slash YYYY

Seminary Debt Reduction Grant

Personal Information

School and Student Loan Information

Personal Finances

File Uploads & Certification

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