Benevolence Application
The ministry of Benevolence is overseen by the Board of Deacons at Peace Community Church.  Any individual requesting benevolence from PCC is required to complete this application.  Please allow 3-7 business days to receive a response from one of our Council members.

*This application must be filled out completely
*Under no circumstances will PCC issue cash.
*PCC does not issue checks to individuals. All checks must be made out to the company requiring payment.
*"Proof of Need" may be required before benevolence is issued.  This may be in the form of rental agreements, late notices, mortgage bills, utility bills, etc.  All documentation must show the account number, due date, amount due and to whom to make checks payable.
*All completed application forms will be kept on file for one year and a permanent log of applicant names will be kept in the church office.
*Individuals may not receive assistance more than once in a 12 month period.
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Name *
Spouse's Name (if applicable)
Address *
Email Address *
Phone Number *
Name(s) and D.O.B of children in the household *
Name of your employer *
Name of your spouse's employer *
Monthly Mortgage/Rent *
Monthly Phone Bill *
Monthly Insurance *
Monthly Utilities *
Monthly Car Payment *
Monthly Child Support *
Please explain why you need help at this time *
The exact amount of assistance I need is... *
Have you requested assistance from other sources? *
If yes to the previous question, from who? *
I certify that the above information is correct to the best of your knowledge.  I also authorize Peace Community Church to make necessary inquiries to verify the above information.   *
Would you consider attending services at PCC?
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