Church Worker Debt Retirement Application

Eligibility: Church Workers must meet these criteria to be eligible. Please check.

I confirm that I am a full-time rostered church worker in the NE LCMS District . I currently have higher education debt incurred in pursuit of my professional church work degree. I am currently a full-time church worker and have completed at least one (1) year of full-time church work as a rostered member of the NE LCMS District. If chosen for a debt retirement award, I understand that payment will be made directly to my (student) loan company following verification of my full-time church worker status in the NE LCMS District.

Name

This address will receive a confirmation email

Primary Phone

Mailing Address

Number of years served in full-time church work in the Nebraska District

Number of years served in full-time church work

Current Call

Congregation/School Name

Congregation/School City

Type of Call

Institution Where Most Recent Debt Incurred

Name of Institution

Full Address

Degree

Approximate amount of Debt Incurred at Institution

Total Student Loan Debt Incurred in pursuit of professional church work degree(s)

Financial Institution or Loan Company

Name of Institution

Please upload a copy of a recent statement showing the name of the institution, name on account, account number, current balance and payment mailing address.

Upload (8MB)

Payment Mailing Address

Payment Mailing City, State & Zip

Account Number

Approximate Loan Balance

*Certification Statement:

By submitting this application you are confirming that all of the information provided above and in the accompanying documents is true and correct to the best of your knowledge.

*Please consult your tax advisor for income and tax implications. A 1099 will be issued by the NDLCMS.

Description

Deadline: This completed application and all other required documentation must be received by June 1st of each year.
Questions? Call Joyce at 402-643-2961 or e-mail: joyceb@ndlcms.org

Church Worker Debt Retirement Application

Description

Please Fix the Following