FA: Income Verification

Income Verification

Elim Bible Institute and College
Name*

First NameLast Name
Email*
example@example.com
Country of citizenship*
Are you requesting financial assistance from Elim Bible Institute and College?*

YesNoI'm not sure
Age*

21 or younger22-2425 or older
Annual Gross Income*
Last 12 months of income in U.S. dollar
Parent(s)/legal guardian(s) Annual Gross Income
Last 12 months of income in U.S. dollar
Estimated Financial Contribution *
Projected out-of-pocket funds to pay for education in U.S. dollar
Proof of Financial Need*

Browse Files
In order to confirm financial need, EBIC requests the submission your prior year's income record(s). Cancelof
By submitting this form you are:
1. Confirming that all information within is accurate and true to the best of your knowledge. Any false information may result in the loss of financial assistance from Elim Bible Institute and College.
2. Applying for financial assistance from Elim Bible Institute and College.
You will receive further information after recipt of your submission.
Signature*

Clear
Should be Empty: