Application to Adopt a Student

Organization or Participating Group

If other than entire congregation

Congregation

Address

Street Address Address Line 2 City State ZIP Code

Pastor's Name

First Last

Participant

Individual participating or Contact Person's Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

Enter Email Confirm Email

Pledge

With God's help, we plan to pray for and correspond with our student and, if possible, provide financial support in the amount of:

Monthly
Quarterly
Yearly
Amount Unknown

Amount of Support:

Do you have a preference for students in a particular program?

Pastoral Ministry
Deaconess Program
Either

Do you have a preference for a particular student? Please note that individual donors are not able to receive an IRS tax deduction if they name a specific student.

No
Yes, we would like to adopt

Name of Student

First Last

Do you have a preference with regard to type of student (e.g. single, married, from a certain area of the country, etc.)?

No
Yes, Please note preference below

Preference

Comments

This field is for validation purposes and should be left unchanged.

CTSFW

CTSFW

Application to Adopt a Student