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00 - Financial Hardship Application


  1. International College of Ministry

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

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

    Financial Hardship Scholarship Application



  2. Fields marked with (*) are required fields.

  3. 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.

  4. Applicant's Electronic Signature:(*)
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  5. Date Signed: (mm/dd/yyyy)(*)
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  6. Campus or Online Director (if known)
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  7. Name:(*)
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  8. Maiden or Previous Name:
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  9. Social Security:(*)
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  10. Date of Birth: (mm/dd/yyyy)(*)
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  11. Gender:(*)
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  12. Date of Application: (mm/dd/yyyy)(*)
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  13. Address:(*)
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  14. City:(*)
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  15. State:(*)
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  16. Zip Code:(*)
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  17. Cell Phone:
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  18. Home Phone:
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  19. Email Address:(*)
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  20. Please describe your current financial situation: (*)
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  21. Please describe any skills that could be used to help ICM.
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  22. Please select your initial choice for your payment plan (this information will be kept confidential):
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  23. Name as Shown on Card
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  24. Expiration Date: (mm/dd/yyyy)
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  25. 3-Digit Security Code (On Back of Card)
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  26. Credit Card Number
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  27. Zip Code Where Bill is Sent
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  28. ACH Debit:
  29. 9-Digit Bank Routing Number
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  30. 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.

  31. Applicant's Electronic Signature:(*)
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  32. Date Signed: (mm/dd/yyyy)(*)
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  33. For Security,
    Please Complete this CAPTCHA Form to Show You are Not a Computer.

    (*)
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International College of Ministry

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