Congregational Commitment Form

Company

This field is for validation purposes and should be left unchanged.

Academic year to be awarded(Required)

Enter the years of the fall and spring semesters in which the church intends to provide financial support (i.e., 2021-2022).

Amount(s)(Required)

Name of student

Amount for fall (Sept - Dec)

Amount for spring (Jan - April)

Name of congregation or conference(Required)

Address

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

Phone

Congregation ID number (if known)

Pastor's name

Name of contact person

Contact's email(Required)

Contact's phone(Required)

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