Financial Assistance - Jamestown Christian Church

Address *

Phone number *

Todays date:

Are you married?

If so, what is your spouse's name and contact information?

Are there children living with you?

If so, how many?

Are you employed?

Is your spouse employed?

What is your and/or your families main source of income?

Church Information

Are you a member of a church?

If so, where do you attend?

Which best describes your church attendance?

How can we pray for you?

Please be specific.

Have you received financial help in the past?

If so, when, how much, and from whom?

What is the immediate financial need?

Please include exact amounts, to whom the funds are owed, and any other information that will benefit the team in making its decision.

Please describe your overall life situation as specifically as possible.

Again, please include any information that might help the team.

For this request, have your requested help from anyone else or another organization?

If so, whom?