MASSACHUSETTS BAPTIST CHARITABLE SOCIETY
Wendy Maxfield, Executive Secretary
P.O. Box 4003, Westford, MA 01886
(978) 501-1310
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MASSACHUSETTS BAPTIST CHARITABLE SOCIETY Incorporated February 3, 1821 to aid clergy and clergy families Of the American Baptist Churches of Massachusetts
PURPOSE OF THE EDUCATION GRANTS
Grants from the Charitable Society for repayment of education loans are meant to accelerate the repayment of clergy education loans undertaken in preparation for ordained ministry. They are not meant to replace regularly scheduled payments.
Criteria for Applicants for Grant towards Repayment of Education Loans
Please mail the completed application with any accompanying materials by December 31 of each year to:
Wendy Maxfield massbaptistcharitalbe@gmail.com Phone 978-501-1310 P.O. Box 4003, Westford, MA 01886 Website: www.massbaptistcharitable.org If you have any questions, please do not hesitate to contact Rev. Rebecca Tornblom. MASSACHUSETTS BAPTIST CHARITABLE SOCIETY Incorporated February 3, 1821 to aid clergy and clergy families of The American Baptist Churches of Massachusetts massbaptistcharitable@gmail.com
APPLICATION FOR GRANT TOWARDS EDUCATIONAL LOANS – Confidential Information
Name:_______________________________________________________ Date: ________________________
Address: _______________________________________________________________________Zip: _______
Telephone: (H) ______________ (O) ______________ E-Mail: ______________________________________
Marital Status: _________Number of Dependents(including spouse)________ Ages of Children:____________
Church Membership maintained at: _____________________________________________________________
Seminary Attended: _____________________________________________Degree_________Year_________
Ordination Status:________________ Church Ordained at: __________________________Year:___________ ABC Ordination: Yes___ No___ Region ________________________ Date _____________________ If no, is your ordination ABC recognized? Yes___ No___ Region ____________________Date ______ Current Ministry and/or Work Location/s:________________________________________________________ __________________________________________________________________________________________ How Long in Position/s: ___________________________________________________________________ Bi-Vocational: Yes ___ No ___
STUDENT LOANS OUTSTANDING: (Please List All Loans; use extra pages if necessary)
Loan 1: Initial Amt: $_______________Type of Loan: Stafford Subsidized ____ Unsubsidized____ Year_____ Loan Obtained:____________ Years Remaining on Loan:______ Have You Ever deferred the loan? Y___N___ Current Outstanding Balance: $_______________ Have you ever defaulted on the loan? Y___N___
Loan 2: Initial Amt: $_______________Type of Loan: Stafford Subsidized ____ Unsubsidized____ Year_____ Loan Obtained:____________ Years Remaining on Loan:______ Have You Ever deferred the loan? Y___N___ Current Outstanding Balance: $_______________ Have you ever defaulted on the loan? Y___N___
Loan 3: Initial Amt: $_______________Type of Loan: Stafford Subsidized ____ Unsubsidized____ Year_____ Loan Obtained:____________ Years Remaining on Loan:______ Have You Ever deferred the loan? Y___N___ Current Outstanding Balance: $_______________ Have you ever defaulted on the loan? Y___N___
Loan 4: Initial Amt: $_______________Type of Loan: Stafford Subsidized ____ Unsubsidized____ Year_____ Loan Obtained:____________ Years Remaining on Loan:______ Have You Ever deferred the loan? Y___N___ Current Outstanding Balance: $_______________ Have you ever defaulted on the loan? Y___N___
Total Indebtedness for Student Loans:$_____________________________ Current Annual Educational Loan Payments $_________________ How much has been paid on your education loans during this calendar year? $__________________________ (Please provide documentation of payments. Thank you.) APPLICATION FOR GRANT TOWARDS EDUCATIONAL LOANS –Confidential Information–P. 2
Other Indebtedness (not including student loans-such as: medical bills, car loans, credit cards, mortgage, etc.) ________________________________________________________________________________________ ________________________________________________________________________________________ Total Other Indebtedness: $_____________________ Total Indebtedness for Student Loans (from P. 1) $_____________________
TOTAL INDEBTEDNESS: $____________________________
INCOME STATEMENT Applicant Salary $_________________________ Parsonage ___ or Housing Allowance ___ $_________________________ Rate of Interest (if purchasing home) Other Compensation: Pension $_________________________ Car Reimbursement $_________________________ Professional Allowance $_________________________ Social Security Offset $_________________________ Other $_________________________
Spouse Employed at: _______________________________________________________________ In What Capacity: _________________________________________________________________ Salary $_________________________ Other Family Income/Financial Resources (Savings Accounts, CD’s, Money Market Accounts, Stocks, Bonds, Trusts, Etc.) $_________________________
TOTAL INCOME: $_________________________ Other Property Owned (Cottage, Land, Family Home, etc.) ________________________________ ______________________________________________________________________________________ Value of Other Property $_________________________ Applicant: In addition to the information on the above two pages, please attach an explanatory statement, including any other information pertinent to your situation. To Whom Is Grant Check to be made out to (Name of Lender) ___________________________________ Applicant Account Number: __________________________________________________________________ I HEREBY CERTIFY, to the Massachusetts Baptist Charitable Society that I have made a correct answer to each inquiry in this application, have conformed to the guidelines of the Society, and that it continues to be my purpose to devote my life to the work of the gospel ministry through the American Baptist Churches/USA, and that I need and hereby solicit aid from the Society to reduce my educational debt. I further agree to repay the grants made if I do not serve American Baptist recognized ministry for a minimum of five (5) years. _________________________________________________________ ___________________________________ Signature of Applicant Date Return by December 31 to Mr. Douglas Tatreau 69 Fort Point Road North Weymouth, MA 02191 |
