Benevolence Request - King's Cross Church

Phone number *

Date of Request *

mm/dd/yyyy

The total amount of your request is... *

Please use the format $0.00

To whom should the funds be made payable to? *

(power company, landlord, etc.)

Are you a covenant member of King's Cross Church? *

Yes

No

Are you willing to receive financial counseling? *

Yes

No

Are you currently employed? *

Yes

No

If married, is your spouse employed? *

Yes

No

Not applicable

Total number of people in the household... *

min: 1 / max: 10

In your opinion which best describes your financial situation? *

Short term emergency

Short term problem

Long term problem

Briefly explain your needs and what led you to request assistance... *

Benevolence Policy *

I have read and agree to King's Cross Church's Benevolence Policy

https://t.ly/Benevolence-Policy