Orange Scholarship and Payment Request Submission Form

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What are you requesting? *

Please choose one of the following options:

Quarterly Payments (applicable towards curriculum, media and enhanced licenses...committing to a full year's purchase with payments being made quarterly for the yearly commitment). )

Discount/Scholarship

Gap Coupon (pay a pro-rated amount for a specified number of months or seasons...please tell us how many months/seasons of each curriculum you're hoping to purchase. Applicable toward curriculum, media and enhanced licenses. )

If you are requesting a scholarship, did you also submit a request last year? What percent discount was provided to you?

Church Name *

City *

State *

Your Name *

Please share your first and last name.

Your Current 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).

Congregation Size *

Please share your average church attendance (Adults+Students+Kids/everyone who attends) on a Sunday morning.

1-150

151-250

251-500

501-999

1000-1499

1500-3000

3000+

Ministry size *

How many kids on average attend your ministry?

15 kids or less

16-25 kids

26-50 kids

51-100 kids

101-200 kids

201-400 kids

401+ kids

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

Other:

Required

If you are requesting a scholarship, what percent discount is being requested? *Please note...we field a significant number of scholarship requests each year. If you received a scholarship last year, we do ask that you request a lower percent discount than the previous year. Doing so will help us continue to maintain this program and serve an array of ministries.

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 also note...scholarships are only available for curriculum licenses and not towards our enhanced licenses or media packages.

If you are requesting a gap payment, how many months (First Look/252) or seasons (XP3) of curriculum would you like to purchase?

Please share with us why you are making this request. *

Thank you for submitting your request. Our team will be back in touch within 24-48 hours after you submit your request. Please check your spam /promotions folder if you don't see a response from us within that timeframe.

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