Financial Assistance Application Form

The CAC is able to offer reduced fees (for events, online courses, and other programs) for a limited number of individuals. Financial assistance is not available for lodging, meals, or travel. Please carefully and prayerfully consider your expenses and income as you apply for assistance. The information you provide relative to this request will be kept confidential.

Please keep in mind scholarship/financial aid applications must be submitted one week before the registration of an event closes. Applications are not able to be viewed and processed the week before an event.

PROGRAM DETAILS:

Please select the CAC program area for which you are seeking assistance:

Which conference are you seeking financial assistance for?

CONSPIRE (May 15 - 17, 2020)

SOLD OUT: Thank you for your interest in attending the CONSPIRE conference. Unfortunately, the in-person conference has sold out. If you wish to attend remotely via the webcast, please change the above program selection to "Webcast (Livestreamed Event)".

Conference (in-person event) Information

Scholarships for Conferences (in-person events) are not currently available. Please visit our Events Page for all event dates and information. Scholarship applications will open at the same time as registration.

Which webcast are you seeking financial assistance for?

CONSPIRE (May 15 - 17, 2020)

Webcast (livestreamed event) Information

Scholarships for Webcasts (livestreamed events) are not currently available. Please visit our Webcasts Page for all event dates and information. Scholarship applications will open at the same time as registration.

Which online education course are you seeking financial assistance for?

Breathing Under Water (November 13, 2019 - January 8, 2020)

Online Education Course Information

Scholarships for Online Education Courses are not currently available. Please visit our course catalog for course dates and information. Scholarship applications will open at the same time as registration

FINANCIAL ASSISTANCE REQUESTED

The full tuition/registration cost of the program for which you are seeking assistance is:

Please enter the amount you are able to contribute:

Please enter only numbers with no special characters.

The amount of financial assistance you are requesting is:

Please respond thoughtfully to the following questions. This information helps CAC be consistent when we consider financial assistance requests for all individuals who cannot afford CAC’s programs on their own. This ensures that we are spending funds where they are really needed, something that is important to the generous donors who make these funds available. Information you provide will be kept confidential.

First Name

Last Name

Phone

Gender

Date of Birth

Race

Ethnicity

Primary Religious Affiliation

Other

Country

Street Address Line 1

Street Address Line 2

City

State

Provinces

State/Province

Postal Code

INCOME

Were you required to file a U.S. federal tax return this past year?

Please explain why you weren't required to file a U.S. federal tax return:

If "other", please elaborate here:

Please select the correct range for your "adjusted gross income" from your most recent U.S. federal tax return (e.g., line 7 on form 1040).

Please convert your annual income to United States Dollars (USD) and then select the correct range from the dropdown menu below.

How many dependents are listed on your tax return?

Is there anyone else to whom you are providing any support that draws on your financial resources? If so, please briefly describe your situation.

Are you a currently enrolled student?

STUDENT INFORMATION

Where are you enrolled as a student? (e.g. college, university, seminary, etc)

Area of Study

If "Other", please specify:

What is the name of the institution where you are currently enrolled?

ADDITIONAL QUESTIONS

Is there any event that has occurred in the last three (3) years of your life that has placed a significant strain on your financial resources? If so, please briefly describe your situation.

Have you explored a potential contribution from other sources, including your church or employer?

Please tell us more about the other sources from which you've explored potential contributions.

Why do you want to participate in this program? How do you hope to integrate your experience in this program within your personal life and/or vocation?

Please add any other comments that would assist us in evaluating your request for financial assistance:

Contact Information