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Faith & Finances Participant Application

Step 1 of 4

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Please note that your responses to any and all of the following questions WILL NOT disqualify you from participating in Faith & Finance. Leaders will keep all personal information disclosed on this form confidential.
Preferred Location:*
Class Start Date*
General Information
Applicant
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Housing Arrangements
- Rent
- Own
- Homeless
- Other
If other, please explain:
Mailing Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Date of Birth
MM slash DD slash YYYY
Mobile #*
Alternative #
- I would not like to receive text messages and emails for general class reminders/feedback/information
- I would not like to be added to the STCH Ministries general communication list (magazine, emails, etc.)
Marital Status
- Married
- Single
- Divorced
- Separated
- Widowed
Spouse
First Last
Do you have any children?
- Yes
- No
If yes, how many?
Please list any physical handicaps or other special needs you may have:
Education Information
Select the highest grade completed
If you received a certificate or diploma from college, please check all that are applicable.
- Associate Degree
- Bachelor Degree
- Master Degree
- PhD
Present Employment Status
Check all that apply:
- Unemployed
- Full-Time Job
- Part-Time Job
- Self-Employed
- Retired
Employer
Position/Title

Do you have a checking or savings account?
- Checking
- Savings
- Both
- Not yet
What do you hope to achieve by going through Faith and Finances? Please check all that apply: Not yet
- Develop a budget
- Establish a savings goal
- Reduce Debt
- Better understand God's principles for handling money
- Reduce financial tension within our marriage (if married)
- Other, please describe below
Referred by (organization/individual/church):*
Home Church:*
Pastor:*
Emergency Contact
Do you have any physical limitations?
- Yes
- No
If yes, what are they?
Emergency Contact Name
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Relationship:
*
- I declare that to the best of my knowledge and belief the information provided is accurate.
Signature of Applicant

By typing your name above, you are signing this application electronically. You also certify that all information is true and accurate.
Date
MM slash DD slash YYYY

Media Release Form
I hereby grant the STCH Ministries permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of STCH Ministries and will not be returned. I hereby irrevocably authorize STCH Ministries to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge STCH Ministries from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT:
Signature of Applicant

By typing your name above, you are signing this application electronically. You also certify that all information is true and accurate.
Signature of Parent/Guardian if Applicant is under 18

By typing your name above, you are signing this application electronically. You also certify that all information is true and accurate.

Statement of Understanding
I understand that all information is true and has been given voluntarily. As a Participant/Volunteer of STCH Ministries, I agree to abide by the policies and procedures. I understand that I will be participating/volunteering at my own risk and that the organization, its employees, and affiliates, cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer participatory basis.
Signature of Applicant

By typing your name above, you are signing this application electronically. You also certify that all information is true and accurate.
Signature of Parent/Guardian if Applicant is under 18

By typing your name above, you are signing this application electronically. You also certify that all information is true and accurate.
Comments
This field is for validation purposes and should be left unchanged.

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Our ministries are supported by private donations and do not accept any state or federal funding. All our services are provided regardless of an individual or family’s ability to pay for them, although donations are welcome and appreciated.

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