Financial Aid/Scholarship Request Financial Aid / Scholarship Request Full Name Email Address City State Country Telephone Number Gender Male Female Date of Birth Marital Status Married Single Divorced Widowed Congregation You Attend Are You in Leadership Yes No Are you taking classes with the hopes to teach at your congregation? Yes No Is your congregation aware you want to take classes? Yes No N/A Are You Currently Employeed Full Time Part Time Self-employed Retired Home Maker Unemployed Current Occupation Highest Level of Education Monthly Household Gross Income Number of Dependants Please explain the reason you are requesting financial aid / scholarship Is there any amount you could pay per month for classes? Do you hope to enroll in the three-year program or are you taking individual classes? Three-Year-Program Individual Classes Submit