Missions Dependents Education Detail Δ 1Expense information 2Dependent children information A field marked with a red asterisk is required.Please select one*The following options are available to each missionary family for their personal portion of their child/children's education expense. Please check your preference for the current fiscal year. 1) The annual amount for my child/children WILL BE deducted from the initial payment request and WILL BE paid directly to the school by the parent. 2) The annual amount for my child/children HAS BEEN deducted from the initial payment request and HAS BEEN paid directly to the school by the parent. 3) If home schooled, I elect to have my teaching stipend reduced either according to the chart below or at a greater portion. 4) Please deduct the annual amount from my semi-monthly pay as authorized below. 5) My child's school tuition has already been paid in full by WELS for this school year. I will send WELS a check for my personal portion of my child/children's education expense. Fiscal year*Select one . . .2019-202020-212021-222022-232023-24I, authorize that my personal portion of my child/children's education expense is to be deducted from my monthly payroll as indicated below.* First Last I have child/children in grade school*Please enter a number from 0 to 9.and children in high school*Please enter a number from 0 to 9.Select the options to be deducted in equal amounts from your semi-monthly compensation beginning September 1 and ending June 30 of the current school year. Example 3 total children attending school (2 high school / 1 grade school) First child high school $1,250 Second child high school $850 First child elementary school $750 Elementary school* $750 towards actual tuition for the first child $500 towards actual tuition for the second child $250 per third child $250 per fourth child $250 per fifth child None High school* $1,250 towards actual tuition for the first child $850 towards actual tuition for the second Child $500 per third child $500 per fourth child $500 per fifth child None Personal annual portion*Verify personal total - United States currencyComments The missionary's children are considered as a family unit regardless if they are in high school or grade school. This section to be completed by the missionary for his dependent child/children who will not be living on the mission field with him at any point during the upcoming fiscal year. Dependent children*Who are not living in the mission field. 0 1 2 3 4 First Child InformationName* First Last Dates child will be in the mission field. Mission field start* MM slash DD slash YYYY Mission field end* MM slash DD slash YYYY Mission field start MM slash DD slash YYYY Mission field end MM slash DD slash YYYY Dates child will be in the United States.United States start* MM slash DD slash YYYY United States end* MM slash DD slash YYYY Grade*Select one . . .K123456789101112Address while at school* Address line 1 Address line 2 City Select one . . .AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Second Child InformationName* First Last Dates child will be in the mission field. Mission field start* MM slash DD slash YYYY Mission field end* MM slash DD slash YYYY Mission field start MM slash DD slash YYYY Mission field end MM slash DD slash YYYY Dates child will be in the United States.United States start* MM slash DD slash YYYY United States end* MM slash DD slash YYYY Grade*Select one . . .K123456789101112Address while at school* Address line 1 Address line 2 City Select one . . .AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Third Child InformationName* First Last Dates child will be in the mission field. Mission field start* MM slash DD slash YYYY Mission field end* MM slash DD slash YYYY Mission field start MM slash DD slash YYYY Mission field end MM slash DD slash YYYY Dates child will be in the United States.United States start* MM slash DD slash YYYY United States end* MM slash DD slash YYYY Grade*Select one . . .K123456789101112Address while at school* Address line 1 Address line 2 City Select one . . .AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Fourth Child InformationName* First Last Dates child will be in the mission field. Mission field start* MM slash DD slash YYYY Mission field end* MM slash DD slash YYYY Mission field start MM slash DD slash YYYY Mission field end MM slash DD slash YYYY Dates child will be in the United States.United States start* MM slash DD slash YYYY United States end* MM slash DD slash YYYY Grade*Select one . . .K123456789101112Address while at school* Address line 1 Address line 2 City Select one . . .AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Data Privacy & Permission* I AGREE with the terms of the WELS Privacy Policy.NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU: By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.Missionary signature*Use your mouse or touch pad to add your signature.Date* MM slash DD slash YYYY Missionary e-mail* Enter e-mail Confirm e-mail WELS Missions: [email protected] or 414-256-3285 or 414-256-3234 | Privacy policyRef: Missions Dependents Education Detail