NOTE: Entering the wrong counselor and/or ID number may result in a delay in the processing of this document. It may also delay any credit balance you were scheduled to receive, if any.
By signing this form: I certify that the above information is true and accurate. I certify that I continue to be an active member or participant of the church listed above, it is the same church for which the grant was originally awarded, and that it continues to be the home church for me. I acknowledge that I must inform my financial aid counselor if I am no longer at the church listed above, and that I may lose eligibility for this grant if I am no longer participating.