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NBC Generosity Fund Request Form
The following form is used to collect information about a request to the
Northbridge Church
Generosity Fund. Please provide as much detail as you can about the request.
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* Indicates required question
Email
*
Your email
Name:
*
Your answer
Phone:
*
Your answer
Are you submitting this request on behalf of someone?
*
Yes
No
Marital Status?
*
Married
Single
Total number of people in the household?
*
1-2
3-4
More than 5
Please check the boxes that apply to your current financial situation:
*
My finances have been under control but I have been hit with an unforeseen financial emergency.
My financial problems have been growing over time and have finally reached a crisis.
My financial problems are a result of major health problems, job loss or loss of major family income source.
Other:
Required
Briefly explain what events led to your needing assistance
*
Your answer
Dollar amount you are requesting
*
Your answer
Present/most recent employer
*
Your answer
Have you reached out to your family or any other organizations for assistance?
*
Your answer
What steps are you taking to improve your present situation?
*
Your answer
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