Congregational Commitment Form

* Required field

Academic year to be awarded*
Enter the years of the fall and spring semesters in which the church intends to provide financial support (i.e., 2021-2022).
Amount(s)*
Name of student Amount for fall (Sept - Dec) Amount for spring (Jan - April)

Enter the dollar amount to be awarded to each student (per semester) for the indicated academic year. Click the plus sign to add additional students.
Name of congregation or conference*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Congregation ID number (if known)
Pastor's name
Name of contact person
Contact's email*
Contact's phone*
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Payments – Please make one check (in U.S. dollars) payable to Goshen College and mail to the Financial Aid Office at Goshen College (1700 S Main St., Goshen IN 46526) by the payment due dates (listed below). Do not make checks payable to students.
Student accounts – Student accounts will not be credited with the matching grant until the church check is received, so please note due dates below.
Refunds – Since actual enrollment may change after March 1, the church will be refunded at registration time if a student does not enroll.
Contact Information – For more information on how to set up a congregational student aid fund, including tax requirements, feel free to call the Financial Aid Office at (574) 535-7535 or email finaid@goshen.edu.

March 1 deadline for submission of the Congregational Commitment Form – This deadline is important for timely completion of student aid packages. The Commitment forms must include the name of each anticipated student recipient and the full amount each student will receive for the coming year.
August 1 – First payment due
December 1 – Second payment due
Students may be charged a $75 late payment fee for payments not received within 30 days of due date.

Name of student	Amount for fall (Sept - Dec)	Amount for spring (Jan - April)