Shepherd's Fund Application - 国产视频 Theological Seminary

The Shepherd's Fund: Retired Ministers Compassion Program

For 国产视频 Seminary Alumni, who are retired ministers and their spouses, to help with the financial burden of medical and healthcare costs.

We are honored to have this God-given opportunity to bless the shepherds who have so faithfully served God and all of us.

FOR RETIRED ASBURY THEOLOGICAL SEMINARY ALUMNI AND THEIR SPOUSES

Denomination*
Full Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
SS#*
last 4 digits
Expense request for next 12 months*
Connection with 国产视频 Seminary*
Please indicate the following that apply
- 国产视频 Degree Received
- Spouse of 国产视频 Seminary graduate
- Retired
- Disabled
- Other
Spouse Details
Please provide your spouse's full name and graduation year.
Degree Received
Years of Service in Ministry*
Description*
Describe the medical situation you have encountered and the financial need you are experiencing as a result. Include information regarding your capacity to meet that need.
Denominational Leadership Contact
Please provide contact information (Name, Phone # and email address) for your denominational leadership, to verify good standing in your denomination
Denomination Leader Name*
First Last
Position/Title
Denomination Leader Phone
Denomination Leader Email
Signature*
I certify that the above is true and correct and authorize the Shepherd鈥檚 Fund Committee to consider my statements in application for a grant. If any of the above statements change prior to the grant award being made, I will provide an update to the Shepherd鈥檚 Fund Committee.
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