Benevolence Application

* First Name

* Last Name

* Email

* Mobile Phone

* Address

* Referred to us by

* Marital Status

* Employer

* Hours worked per week

* Spouse's employer and hours worked per week

* If you don't attend Fellowship Bible Church, Where do you attend?

* How many Sunday's do you attend per month?

* Are you a member of a life group, if yes which one?

* Do you regularly give to Fellowship Bible Church?

* Has Fellowship Bible Church helped you financially in the past, if yes, what help and when?

* What is your current monthly income including salary, alimony, Social Security, unemployment, child support, etc

* Do you have family who can help?

* Are you receiving assistance from any other sources? List those sources:

* What circumstances brought about this need?

* Please provide two personal references (other than family) for us to contact, including their name, phone number, email, relationship to you and how long you've known them:

* What is the need for?

* How much is needed?

* When is the amount needed by?

* Please explain why this is an emergency?

* What steps have you taken to alleviate this problem?

* Have you previously received financial coaching or counseling such as Financial Peace University?

* Would you be willing to receive financial coaching or counseling, including budgeting classes?

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