Church Match Scholarship Authentication

This is to notify Elim Bible College that (church name) Church Name* is committed to contributing $ Amount* towards Student Name* the 2026-2027 academic year. We recognize that by submitting this form, along with the contribution by the specified deadline, Student First Name* Student Last Name* you may be considered eligible for the applicable EBIC Church Match Scholarship.

IMPORTANT INFORMATION:

Full-Time Students: EBC may match up to $1,000 for the year (maximum of $500 per semester), contingent on eligibility factors.
Part-time Students: EBC may match up to $500 for the year (maximum of $250 per semester), contingent on eligibility factors.
Deadline to submit Church Match Scholarship Authentication form and payment:
- Fall Semester: August 1st
- Spring Semester: December 1st

** If possible, please send the entire Church Scholarship for the academic year at once.

This payment can be made:
- Online at: [Elim Link here]
- By check, mailed by the specified deadline to: (checks payable to Elim Bible Institute and College)

Elim Bible College

Attn: Financial Aid Office

7245 College Street

Lima, NY 14485

Disclaimer: Limited availability, EBC Church Match Funds will be awarded on a first come, first served basis. EBC Church Match is mutually exclusive with some institutional aid categories. Students will be awarded whichever aid category is more financially beneficial. Institutional scholarships that include EBC Aid of more than $1,000 may be canceled or reduced by EBC Church Match. Additionally, EBC will not match any church donation if the student's total aid exceeds $10,000. EBC will only match up to $5000 total in institutional aid and discounts. If EBC aid exceeds $5000, the match will not be received.

Church Name:*

Church Address:*

Church Contact's Name*

Church Contact Email*

example@example.com

Payment Method*

Credit CardCheck

I understand and agree that a check must be postmarked by the deadline in order for the student to be eligible to receive the match.*

YesNo

Please indicate how you would like the Church Match applied:*

The Academic Year [2026-2027]Fall 2026 ONLYSpring 2027 ONLY

Comments

Church Contact's Signature:*

My Products*

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

If you selected "No," you will not be able to submit this form. Please agree to the statement above to continue with the check payment option.

Please verify that you are human.*