Benevolence Request

Please fill out form below and we will contact you after your request has been reviewed. Processing may take at lease (5) business days from this date. Any request received and approved after Tuesday may not be processed for payment until Friday of the following week. Copies of bills for which assistance is needed must be provided; you must provide your own photocopies. Failure to complete the entire form may delay the review of your request. Below is a link to a .pdf or the form for those who desired to write out their information and send a different way.

Household Members

Name *

Relationship *

SS# *

Date of Birth *

Name *

Relationship *

SS# *

Date of Birth *

Name *

Relationship *

SS# *

Date of Birth *

Name *

Relationship *

SS# *

Date of Birth *

Name *

Relationship *

SS# *

Date of Birth *

Employment Information

Employer *

Employer Address *

How Long? *

Employer Number *

Unemployed? *

If Unemployed, How Long? *

Reason for Unemployment *

If not unemployed, what has happened to create this need? *

Are you a member of Inner-Faith Fellowship Ministries?

Member of Inner-Faith: *

Yes No

Are you currently tithing at Inner-Faith Fellowship Ministries?

Tithing at Inner-Faith: *

Yes No

Inner-Faith Fellowship Ministries Leader? *

Yes No

Which area of ministry do you volunteer? *

Have you been helped previously by Inner-Faith Fellowship Ministries?

Have you received assistance from any other church than Inner-Faith Fellowship Ministries' surrounding areas during the past 6 months?

Helped by other ministries: *

Yes No

**If yes, what ministry or agency during the past 6 month? *

Benevelence_Information_Form.pdf
File Size:	495 kb
File Type:	pdf

IFFM Benevolence
Request

Benevolence Information Form

Household Members

Employment Information

IFFM BenevolenceRequest

Benevolence Information Form

Household Members

Employment Information

IFFM Benevolence
Request