Teachers should fill out this nline grant request form if you would like to receive financial assistance for your current situation. This form is encrypted and all submissions are kept confidential.

Personal Data
First Name:
Last Name:
Name of Employer:
Address 1:
Address 2:
City:
State:
Zip Code:
E-mail:
Phone:
Social Security Number:
Date of Birth:
Is this your first application for a scholarship Grant from The Christian Foundation?	Yes       No
If no, please provide the approximate date of your previous application:

Work Information
Teacher: If you are a teacher or a missionary, provide a brief summary of the principal activities and purposes of any school, mission board or other organization for which you work. How long have you been engaged in such work?
Other than a teacher: Provide a summary of the Christian or charitable  work, if any, in which you are engaged. How long have you been engaged  in such work?
Other than a teacher: Provide a history of your work experience,    if any, in the last 10 years, listing the name and address of each employer, your job responsibilities and wages?
All applicants: Identify any sources of funding available to you  for the meeting of your financial needs to which you would otherwise put any grant funds you might receive from the Foundation.
Use of Grant Funds
Describe how you would use any grant funds received from the Foundation. What is your requested amount?
Do you agree that if you receive a grant from the Foundation, you will: a) complete and return the Grant Utilization Report (a copy of which is attached hereto) to the Foundation; b) repay any part of the grant funds not used for the purposes for which the grant was made; c) maintain records of receipts and expenditures of the grant funds and make your books and records available to the Foundation for inspection at reasonable times upon reasonable notice; and d) use the funds only for the purposes described in Item III. A., above?
I declare that I have completed this application and the facts stated herein are true, correct and complete.