Benevolence

Please fill out the the form below to complete your Financial Care request.

Shoreline Church, Inc
Benevolence Application
Date
Name*
First Last
Spouse's Name
First Last
Street Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Are you currently employed?*
- Yes
- No
Employer*
Work Phone
When were you last employed?*
Children
Name Age
Where do you attend? Which campus?*
What steps have you taken to assist yourself with your circumstances and improve your financial situation?*
Have you previously received financial assistance from our church?*
- Yes
- No
Please list all dates you received assistance*
List*
Type of assistance needed Amount needed
Brief explanation*
Confirmation of consent*
Please acknowledge the following.
- All of the information provided in this application is accurate, and I have not received financial assistance from the church within the last six months.
- Completion of this application and/or participation in an interview does not guarantee assistance. Please be assured that we will prayerfully consider your request and respond accordingly.
- You agree to electronic signature confirmation.
Your First and Last Name as Electronic Signature*
First Last
God has called each of us to bring help and hope to people in need. The information collected from you during the application and/or interview process is consistent with our desire to not only assist our members and attendees financially, but to help them engage in the activities that will develop their relationship with Christ and provide the ultimate solution to their financial situation.

Shoreline Church, Inc