Scholarship Application for The Marriage Hub

Scholarship Application

Your complete answers to these questions will be helpful as we review your application.
Name*

First NameLast Name
Email*
example@example.com
Spouse's Full Name*
First name and last name
Spouse's Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Marriage Intensive Weekend You'd Prefer (leave blank if you don't know yet)
Marital Status & How Long?*
Number of Children Living at Home & Their Ages:*
Home Church:*
Church Location & Contact *
Your Occupation:*
Your Monthly Gross Income **
Spouse's Occupation*
Spouse's Monthly Gross Income **
The amount I can make as a down payment for my intensive*
The amount I can pay monthly towards my intensive*
Please explain the specific financial reasons you are applying for scholarship assistance.*
Share your marriage story and why this intensive could be of benefit to you. *
* Independent income verification such as paystubs or tax returns may be requested for verification purposes.
Should be Empty: