ADX Tithe Mission Funds Request Form
Please complete the following questions no later than November 2nd, 2018 to be considered for Fall 2018 tithe funds. Thank you!
What is your first and last name? *
Your answer
What is your chapter affiliation? (Alpha, Beta, etc.) *
Your answer
What is your year in school? *
What is the name of the church or organization affiliated with your mission/ministry trip? *
Your answer
What are the dates of your mission/ministry trip? *
Your answer
What is the amount of funds you are requesting? *
Your answer
Is there an online donation option for your trip? If so, please provide the link to that webpage? *
Your answer
Please list who the funds should be paid to if you are a recipient (checks cannot be made to you as an individual) *
Your answer
If there is not an online donation option, please include the mailing address of where funds should be sent:
Your answer
What is the final date which funds must be received? *
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Please write a short statement (2-3 paragraphs) of your purpose in serving God on this trip and why you are requesting to receive Alpha Delta Chi National Board tithe funds. *
Your answer
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