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Orange Scholarship and Payment Request Submission Form
What are you requesting?
Please choose one of the following options.
Gap Coupon (pay a pro-rated amount for a specified number of months)
If you are requesting a scholarship, did you also submit a request last year? What percent discount was provided to you?
Please share your first and last name.
Your Curren Role at the Church/Organization
Your Contact Email Address
This email address will be how we correspond with you moving forward.
Additional ministry leader's name/email address/role (if different from applicant).
Please share your average church attendance (Adults+Students+Kids/everyone who attends) on a Sunday morning.
How many kids on average attend your ministry?
15 kids or less
What curriculum do you need quarterly payments, a scholarship or a gap coupon for?
Please select all that apply.
First Look Preschool Curriculum
252 Kids Elementary Curriculum
XP3 Middle School Curriculum
XP3 High School Curriculum
If you are requesting a scholarship, what percent discount is being requested? *Note: If you received a scholarship last year, we do ask that you take on a bit more of the licensing cost for the upcoming year so that we can maintain our scholarship program.
Please share the percent discount that is being requested. If you are requesting a discount/scholarship for a curriculum license, please list what PERCENTAGE off (rather than a dollar amount) you are requesting per license. If your request is for quarterly payments, it will be the full license cost, divided by 4. *Please note...scholarships/gap payments/quarterly payments are only available for curriculum licenses and not towards our supplementary resources/videos/media packages.
Please share with us why you are making this request.
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This form was created inside of The reThink Group.