Undergraduate Loan Repayment Application

Persons applying for loan repayment assistance MUST have incurred the debt while attending an Alliance college. A financial stewardship course must be completed before any payout can be made. Please contact [email protected] for a list of possible courses. Before beginning/submitting this application, gather all of the information required. Be especially thorough when providing the student loan information at the end of the application.

Name(Required)

First Middle Last

Email(Required)

Address(Required)

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

Phone(Required)

College Information

College Name(Required)

Major/Degree(Required)

GPA(Required)

Graduation Date(Required)

C&MA Licensure Information

District where you are licensed(Required)

Current Status(Required)

List the official worker status that you currently hold.

License Date(Required)

Future Ministry Involvement

My immediate goal is to serve(Required)

Stateside in a church with Church Ministries

Overseas after my ALME with International Ministries

Describe your hopes for future ministry involvement.(Required)

Ministry Experience

Describe your current ministry involvement.(Required)

Are you a regular contributor to the Great Commission Fund either directly or through your local Alliance church?(Required)

Yes

Current Educational Debt

Student Loan(Required)

List the total amount you owed at time of graduation.

Current Debt(Required)

List the total amount you owe as of today.

Lender's Name

Lender's Phone Number

Lender's Address

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

Payment Address

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

Name on Loan

Monthly Payment

Due Date

Add another educational debt?

Yes

Student Loan(Required)

List the total amount you owed at time of graduation.

Current Debt(Required)

List the total amount you owe as of today.

Lender's Name

Lender's Phone Number

Lender's Address

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

Payment Address

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

Name on Loan

Monthly Payment

Payment Date

Add a third educational debt?

Yes

Student Loan(Required)

List the total amount you owed at time of graduation.

Current Debt(Required)

List the total amount you owe as of today.

Lender's Name

Lender's Phone Number

Lender's Address

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

Payment Address

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

Name on Loan

Monthly Payment

Payment Due Date

Additional Debts

Car Loans

Mortgage

Credit Cards

Additional Loans?

Yes

Debt Total

Please describe any additional debts.

Use this section to report any additional student loans or outstanding debt.

What steps are you currently taking to get out of debt?(Required)

Statement of Intent

I acknowledge that God has called me to serve Him in a ministry occupation within The Christian and Missionary Alliance. I will continue to seek God through His word and through prayer, listen to godly counsel, and be involved in ministry opportunities that will strengthen my relationship with Him and the Alliance. I desire that the Spirit of God would increasingly produce the character of Christ within me so that my life may be one of holiness, love, and integrity. I will seek to be a good steward of the resources God has entrusted to my care, and will not incur any unnecessary debt while enrolled in the Student Loan Repayment Program. I understand that this program is primarily financed by the contributions of C&MA people through their tithes and offerings, and is intended for the payment of educational loans for retiring educational debt incurred while preparing for full-time ministry. I understand that the assistance provided by the C&MA will not exceed $4,000 per year for three years, or more than I have paid toward the retirement of my educational debt in that year. I acknowledge that payments made on my behalf will be reported on IRS Form 1099 as taxable compensation, and that I will receive an IRS Form W-2 from the Alliance. I understand that the C&MA National Office will seek to be prudent in the administration of these funds, and that there is no guarantee of payment in future years.

Agreement(Required)

I agree to the above statement.

Full Legal Name(Required)

First Middle Last

Date