Student Assistance Fund Application

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Is your mailing address different than above address?*

Yes
No

Address for Mailing of Cheque*

Street Address Address Line 2 City Province Postal Code

Email*

Phone*

Program of Study*

B.Th.
M.Div.
DLM

Theological School*

Year of Study*

Home Church*

Date Approved as Candidate/DLM Applicant*

Expenses for the Academic Year*

Tuition	Books	Rent/Accommodations	Travel	Meals	Other	Other	Other	Total Expenses

Expected Sources of Revenue for the Academic Year*

Student Loans	Scholarships/Bursaries/Grants	Employment Income	Pensions	Assistance from Local Church	Study Allowance	Other	Other	Total Expected Revenue

Have you received Student Assistance Fund Loans in the past?*

Yes
No

If you have received funding, how much and what year(s)?

Does Applicant have a Spouse/Partner*

Yes
No

Name of Spouse/Partner*

First Last

Annual Income/Pension of Spouse/Partner*

Where is the Family Home

Applicant's Accumulated Student Loans (including this year)

Family Accumulated Debt (Loans, Credit Card, Trust Companies, etc.)

Does Applicant have Dependents*

Yes
No

List the Names and Ages of all Dependents*

Please include any extra information that may assist the review of your loan application

Please upload any background documents that can assist with the review of application

Drop files here or

Max. file size: 64 MB.

Do you agree to the conditions regarding this loan?*

Yes
No

Does the information in this application depict a true and accurate assessment of your situation?*

Yes
No

Loan Amount Requested*

Name

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

Student Assistance Fund Application

FDEE Student Assistance Fund Loan Application

United Church of Canada News

Student Assistance Fund Application

FDEE Student Assistance Fund Loan Application

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United Church of Canada News