CHURCH MATCHING GRANT AGREEMENT (Please note deadline dates) (For Undergraduate degrees only) enters into an agreement with Ohio Northern University to provide student grant aid. (Church Name) This contract must be received by May 1, prior to the academic year of award. (Funds may not be available after this date.) On or before August 10 for the upcoming academic year, we agree to submit grant monies and certify to the Director of Financial Aid the names of student(s) who are eligible to receive these funds in accordance with IRS regulations. Ohio Northern will determine the amount of the institutional match and make adjustments to student aid awards where necessary. Pastor/Trustee Signature Date Representative of Financial Aid Date OHIO NORTHERN UNIVERSITY CHURCH MATCHING GRANT ELIGIBILITY FORM (Please Type or Print) Complete one form per student annually. We are interested in providing a Church Grant for: Name Social Security Number Today's Date School Year Total Church Award for Year $ Amount enclosed $ Church Church Address City State Church Phone Pastor Zip