• Acknowlegdment
  • Basic Info
  • Purpose
  • Applicant Details
  • Supporting Documents
  • Asset and Debt Info

Application for Financial Support

I authorize the The Christian Revolution staff to make whatever inquires it may deem necessary in connection with this grant application and in the course of review or collection of any grant extended in reliance on this application. I further authorized any person or business associate or entity to complete and furnish to the The Christian Revolution staff any and all information that it may have or obtain in response to such inquires and agree that such information along with this application shall remain the The Christian Revolutions property, whether or not a grant award is extended. All information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining the credit request. The Christian Revolution is granted the right to promote my grant reward, if received, and my likeness in their future marketing and public information. 

The  Christian Revolution will not release this information to any entity for any reason beyond what is required by law, and will notify the applicant of any request thereof. 

I HAVE REVIEWED THE ABOVE DISCLOSURE.

Basic Information:

For grant application counseling, please email Daren Coats at daren@thechristianrevolution.net

Purpose:

For grant application counseling, please email Daren Coats at daren@thechristianrevolution.net

Applicant Details

Co-Applicant Information

For grant application counseling, please email Daren Coats at daren@thechristianrevolution.net

Supporting Documents

Supporting documents, (such as driver's licenses, tax documents, bank statements, etc.) can be uploaded here.

For grant application counseling, please email Daren Coats at daren@thechristianrevolution.net

Asset and Debt Information

ASSETS OWNED


OUTSTANDING DEBTS (Includes charge accounts, installment contracts, credit cards, rent, mortgages, etc.)

Creditor

Type of Debt or Account Number

Original Debt

Present Balance

Monthly Payments

Past Due?

CREDIT REFERENCES (paid accounts)

Creditor

Type of Debt or Account Number

Original Debt

Date Paid

For grant application counseling, please email Daren Coats at daren@thechristianrevolution.net