番茄影视
RESOURCES:
Visit
Quick Links
Degrees
Visit
Main
About
Admissions
番茄影视
Student Life
Alumni
Give
Internal
Admissions
Get Started
Admissions Requirements
Residential, Online, Hybrid
Visit
Tuition & Financial Aid
International Students
番茄影视
Degree Programs
Faculty
Registrar
Organization of Schools
番茄影视 Latino Center
Church Planting
Other Academic Areas
Student Life
Formation
Housing
Health & Fitness
Chapel
Student Services
International Affairs
Career and Calling Center
Community Garden
Mentored Ministry
Alumni
Alumni Home
Alumni Link
Transcript Request
Calendar
Shepherd's Fund
Renewal Retreats
Career and Calling Center
Giving
Giving Home
Ways to Give
Matching Gifts
Visit
Quick Links
Degrees
Visit
Main
About
Admissions
番茄影视
Student Life
Alumni
Give
Internal
Admissions
Get Started
Admissions Requirements
Residential, Online, Hybrid
Visit
Tuition & Financial Aid
International Students
番茄影视
Degree Programs
Faculty
Registrar
Organization of Schools
番茄影视 Latino Center
Church Planting
Other Academic Areas
Student Life
Formation
Housing
Health & Fitness
Chapel
Student Services
International Affairs
Career and Calling Center
Community Garden
Mentored Ministry
Alumni
Alumni Home
Alumni Link
Transcript Request
Calendar
Shepherd's Fund
Renewal Retreats
Career and Calling Center
Giving
Giving Home
Ways to Give
Matching Gifts
The 番茄影视 Shepherd's Fund: Retired Ministers Compassion Program
Home
Forms
番茄影视 Shepherd’s Fund Application
FOR RETIRED ASBURY THEOLOGICAL SEMINARY ALUMNI AND THEIR SPOUSES
Denomination
*
Full Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
颁耻谤补莽补辞
Cyprus
Czechia
C么te d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
搁茅耻苍颈辞苍
Saint Barth茅lemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
罢眉谤办颈测别
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
脜land Islands
Country
Email
*
Phone
*
SS#
*
last 4 digits
Physician鈥檚 name and phone number
Total Expected Medical Expense
Expense request for next 12 months
Connection with 番茄影视 Seminary
Please indicate the following that apply
番茄影视 Degree Received
Spouse of 番茄影视 Seminary graduate
Retired
Disabled
Other
Spouse Details
Please provide your spouse's full name and graduation year.
Degree Received
Years of Service in Ministry
Description
*
Describe the medical situation you have encountered and the financial need you are experiencing as a result. Include information regarding your capacity to meet that need.
Denominational Leadership Contact
Please provide contact information (Name, Phone # and email address) for your denominational leadership, to verify good standing in your denomination
Denomination Leader Name
*
First
Last
Position/Title
Denomination Leader Phone
Denomination Leader Email
Signature
*
I certify that the above is true and correct and authorize the Shepherd鈥檚 Fund Committee to consider my statements in application for a grant. If any of the above statements change prior to the grant award being made, I will provide an update to the Shepherd鈥檚 Fund Committee.
hCaptcha
Δ