Ministerial Excellence Fund Application for a Debt Relief Grant

This application for debt relief applies to: seminary and undergraduate student loans, medical debt and emergency expense.

All rostered minsters and active candidates (all categories) of the Grand Canyon Synod will be eligible to apply. For Education Debt Relief Grants specifically, candidates must be in final categories (approved and/or approved & assigned) in order to be eligible to apply. Submitted grant applications will be received and reviewed by the Grand Canyon Synod Grants Board (and Bishop Deborah Hutterer for emergency grants specifically). Please fill out the application as completely as possible to ensure timely review and response from the Board.

The information provided in this application will be held in strict confidence and will not be publicized, disclosed or disseminated outside of the purpose for which it is provided.

Application Form

Name

First Name

Last Name

Phone

(###)

###

####

Congregation/Ministry & Location (city, state)

Name of Synod Conference

Name of Fiscal Wellness Advocate and date(s) of meetings (phone or in-person)

Which category best describes your request for assistance? Select one only.

Education Debt Relief (seminary & undergraduate)

Medical Debt Relief

Emergency

Amount of grant money requested. Documentation must be provided to validate existing debt or emergency.

Amount raised by the congregation/ministry as a contribution to the GCS 3E Program. Applies to Medical Debt Relief Grants only; contributions can be matched up to $1,000.

Describe your request for assistance.

Describe your engagement with LSS Financial Counseling and how you will utilize the action plan to strengthen your financial health.

What difference will this grant make for you in your ministry?

May we share information contained on this grant application with Bishop Deborah Hutterer so she is aware of your particular situation and can attend to the needs of our GCS rostered ministers and candidates? Shared information will be held in confidence by the Bishop.

Yes

3E grants may have tax implications. Grant recipients are responsible for any taxes. 3E does not provide tax, legal, or accounting advice. You should consult your own tax, legal, and accounting advisors. I acknowledge reading this disclaimer.

Yes

Confirmation

By submitting this application, I affirm that the facts are true and complete. I understand that if I receive an award, any false statements, omissions, or other representations made by me on this application may result in a retraction of the award.

Confirm here with your full legal name:

Date

YYYY

View the Ministerial Excellence Fund main page.

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Application Form

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