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HomeBenevolence Form

Benevolence Form

Step 1 of 7

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  • Application for Assistance

    PLEASE READ THE INFORMATION BELOW CAREFULLY .

    • This application may be shared with other churches or agencies.


    • There is no guarantee of payment. Please allow a 2 week application processing time. You will receive a letter or phone call notifying you of an approval or denial of your request. All available resources ultimately come from God, whether you receive assistance from us or from another organization or church.


    • A picture ID as well as a current copy of the utility bill for which you are seeking assistance are required. The bill must be in the applicant’s name and address. You need to have a plan to cover any amount we are unable to assist with.


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  • Personal Information

  • MM slash DD slash YYYY
    Here is a link to view on Google maps. Click on the cross nearest you for campus name and address.
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  • Income Information

    Please list all members in your household providing an income.
  • Please enter a number from 0 to 99.
  • Additional Income

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  • Monthly Expenses

    Please list all estimated monthly expenses. You must answer every questions, answer '0' if the question does not apply to you.
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  • Your Request

  • Drop files here or
    Max. file size: 2 GB.
      Take a photo of the ID & bill(s), click 'select files' or drop them into the box.
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    • Your Spiritual Journey

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    Outreach Updates

    • This field is for validation purposes and should be left unchanged.

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