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00 - Financial Hardship Application

International College of Ministry

International Office: 5631 Gilliam Rd., Orlando, FL 32818
Mailing Address: 311 Saint Dunstan Way, Winter Park, FL 32792

www.icmcollege.org — This email address is being protected from spambots. You need JavaScript enabled to view it. — 321-837-9894

Financial Hardship Scholarship Application
Fields marked with (*) are required fields.
This program is designed to help those called to the ministry who are serious about getting equipped but cannot afford the normal tuition rates for admission to ICM due to financial hardship

The terms of this program are as follows: If you are approved for this scholarship you will receive a discounted monthly payment plan based on your current financial condition. The payment plan will be very affordable based on your income and will pay your tuition in full after a set number of months. It is requested that the student be responsible for their registration fee of $100 and their graduation fees as well as any additional material or book costs. (Material and book costs are normally minimal). The monthly scholarship payment plan will be through a debit or credit card kept on file or through an ACH. You may be asked to provide proof of income through a pay stub, w2 or tax return or something equivalent. In addition you may be asked to volunteer as a ministry assistant when practical. If approved you can choose to accept or decline this offer.
Applicant's Electronic Signature:(*)

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Date Signed: (mm/dd/yyyy)(*)

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Campus or Online Director (if known)

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Name:(*)

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Maiden or Previous Name:

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Social Security:(*)

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Date of Birth: (mm/dd/yyyy)(*)

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Gender:(*)

MaleFemaleInvalid Input
Date of Application: (mm/dd/yyyy)(*)

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Address:(*)

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City:(*)

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State:(*)

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Zip Code:(*)

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Cell Phone:

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Home Phone:

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Email Address:(*)

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Please describe your current financial situation: (*)

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Please describe any skills that could be used to help ICM.

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Please select your initial choice for your payment plan (this information will be kept confidential). No payment will be run without your consent.

Credit CardDebit Card

MasterCardDiscover CardAmerican ExpressVisaInvalid Input
Name as Shown on Card

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Expiration Date: (mm/dd/yyyy)

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3-Digit Security Code (On Back of Card)

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Credit Card Number

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Zip Code Where Bill is Sent

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ACH Debit:
9-Digit Bank Routing Number

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Bank/Checking Account Number:

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I am willing to certify that the above information is correct to the best of my knowledge. I know that all that we do is for the name of our Lord Jesus.

I have read and understand the above statement.
Applicant's Electronic Signature:(*)

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Date Signed: (mm/dd/yyyy)(*)

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For Security,
Please Complete this CAPTCHA Form to Show You are Not a Computer.

(*)

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00 - Satellite Campus Student Application

International College of Ministry

International Office: 5631 Gilliam Rd., Orlando, FL 32818
Mailing Address: 311 Saint Dunstan Way, Winter Park, FL 32792

www.icmcollege.org — This email address is being protected from spambots. You need JavaScript enabled to view it. — 321-837-9894

Satellite Campus Student Application
Fields marked with (*) are required fields.
Name:(*)

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Date of Birth: (mm/dd/yyyy)(*)

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Address:(*)

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City:(*)

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State:(*)

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Zip Code:(*)

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Cell Phone:

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Home Phone:

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Email Address:(*)

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Campus Name(*)

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Program Applying For (*)

Associate
Bachelors
Masters
DoctorateInvalid Input
Major(*)

Ministry
Christian Counseling
Theology
Prophetic MinistryInvalid Input
Please list any legitimate colleges attended and credit hours completed as well as your major. Be sure to include any previous degrees you have earned.

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Please describe your ministry experience including positions held, number of years experience, and your date of salvation.

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Your Current Church and Pastor's Name

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Previous church if less than 3 years attendance at current church.

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Please tells us how you heard about ICM?

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Date of Application:

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Applicant's Electronic Signature:(*)

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For Security,
Please Complete this CAPTCHA Form to Show You are Not a Computer.

(*)

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