Benevolence

First Baptist Church of Cordele Benevolence Request Form

We are here to serve in any way we can. The purpose of our Benevolence ministry is to show the love of Christ by meeting physical needs. Please fill out the form below and we will contact you as soon as we have made a decision on how much we can help you.

Name

First Name

Last Name

Date

YYYY

Address

Put N/A if not applicable

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday

YYYY

Put N/A if not applicable

Phone

Put N/A if not applicable

(###)

###

####

Name and ages of children under your care

Where do you attend church?

Put N/A if you do not attend a church

Have you sought help from your church?

Put N/A if not applicable

Are you receiving any other forms of assistance (food stamps, welfare, disability, etc.)? If yes, please list below and the amount if possible.

Are you receiving any assistance from family?

Monthly Income

Put $0 if not applicable

Source of Income

Put N/A if not applicable

Current Employer

Put "unemployed" if you do not currently have an employer

Requesting help for

Amount Requested

Other information we may need to know

By checking yes and submitting I affirm the above information is true and accurate to the best of my knowledge

Yes

Benevolence

First Baptist Church of Cordele Benevolence Request Form

Love God ~ Love His Church ~ Love Your Neighbor