Benevolence Request Form

Thank you for reaching out to Fellowship Baptist Church. Our desire is to help those in need as we are able. Please complete this form in full to help us understand your situation and consider your request.

Personal Information

Name

Phone

Address

This address will receive a confirmation email

Are you a member of Fellowship Baptist Church?

Yes No

Assistance Information

Date of Request

Have you requested assistance from Fellowship Baptist Church before?

Yes No

If yes, when?

Type of Assistance Needed:

Rent/Mortgage Utility Bill Food Baby Diapers or Formula Other

If Other, please specify

$ Amount or Need Requested:

Reason for Request (briefly explain your situation)

Required Documentation

Please attach the following documents to your request: A copy of the bill or invoice related to your request (if applicable). Any additional documentation that supports your request.

Upload (8MB)

Terms of Assistance

Assistance is limited to one request per family per calendar year.

All requests must be reviewed and approved by the deacons of Fellowship Baptist Church.

Completion of this form does not guarantee approval.

By signing below, I confirm that the information provided is accurate to the best of my knowledge and that I understand the terms of assistance outlined above.

Please enter your full name as an electronic signature.

Description

Please fill out this form and click submit.

Benevolence Request Form

Description

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