Benevolence/Financial Assistance

*** Please give a minimum of (1) week to review the request.

Your name *

Email address *

Phone number *

Address *

Birthday *

Number of children in the home: *

Children's Ages: *

Amount of Assistance Needed: *

Seeking Assistance for: *

On what date are such funds needed? *

*** We are unable to fulfill same day request.

Funds Made Payable to:

e.g. Duke Energy

Name/Business *

Account Number *

Financial State

Have you ever received assistance from World Overcomers Christian Church? *

What is your current financial situation and why are seeking financial assistance? *

Provide a brief description.

If you are currently receiving financial assistance please list all sources of assistance below and the approximate date(s) funds are received. *

*** This includes welfare, social security, disability pension, subsidized housing etc.

Please list all other sources of assistance you have sought and the approximate date(s) you sought assistance. *

e.g. Parents, family, loans, sale of personal property, social programs, consumer credit counseling agencies, creditors, etc.

Employment:

Are you currently employed? *

Spousal Information:

Are you married? *

Church Background

Do you regularly attend World Overcomers Christian Church? *

Are you a member? *

Do you tithe on a regular basis at World Overcomers Christian Church? *

*** Please note your giving record will be reviewed with this application.

Have you ever been involved in Volunteer Ministry at World Overcomers Christian Church? *

Monthly Expenses *

Please list all monthly expenses and allowances as it pertains to your household.
(Payee, Category, Budgeted Amount, Due Date, Amount Paid as of Today, Total Owed)
e.g. Cary Brook, Rent/Mortgage, $597, 1/5/2020, $0, $597

Electronic Signature *

Date *

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