Jessup University Forms

Church Partnership Renewal Form

This form is for RETURNING STUDENTS ONLY who have received this grant in the past. If you are applying for the first time, the Church Partnership Grant application can be found at https://jessup.formstack.com/forms/church_partnership

Who is your Financial Aid Counselor?*

This form will be sent to your Financial Aid Counselor. If you do not know who your counselor is, do not select a counselor.

Student Information*

First Name

Last Name

Student ID#*

Please enter your 11-digit student ID#.

Student Email Address*

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.

Church Information

Renewing for:*

2021-2022 2022-2023

Church name at which you are an active member or participant*

If your church has recently changed names, please include both the current name and (past name).

Sign and Submit

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.

Student Signature*

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Use your mouse or finger to draw your signature above