Benevolence Application Form - Spring Lake Church
Benevolence Application Form - Spring Lake Church
Benevolence Application Form - Spring Lake Church
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<strong>Spring</strong> <strong>Lake</strong> <strong>Church</strong><br />
<strong>Benevolence</strong> <strong>Application</strong><br />
Today’s date*: ______________ Date of last visit to <strong>Spring</strong> <strong>Lake</strong> <strong>Church</strong>: ______________<br />
*Required<br />
Your Name*<br />
Your Address*<br />
City* County* State<br />
Zip Code<br />
How long have you lived there? Years: Months:<br />
E-mail Address*<br />
Phone* Home: Work: Cell:<br />
Date of birth: Gender: M F Marital Status:<br />
E-mail is our primary means of communicating with you. If you do not have e-mail, please provide a phone<br />
number where you can always be reached.<br />
Other adults (over 18) living at your address 2<br />
Name * Relationship to you * Release? *<br />
2 Each adult must complete and sign a Release Authorization. Attach release forms to the application.<br />
How did you hear about <strong>Spring</strong> <strong>Lake</strong> <strong>Church</strong>?<br />
Who referred you to <strong>Spring</strong> <strong>Lake</strong> <strong>Church</strong>?<br />
Phone<br />
Have you or anyone listed above ever received help from SLC?<br />
If yes, when? And for what need?<br />
Please check the appropriate box *<br />
<strong>Church</strong> Affiliation<br />
SLC Member/Attender 3 Attend other church 4 No church affiliation<br />
3 SLC Members/Attender<br />
Areas of volunteer work at SLC and for how long?<br />
Does anyone at SLC know your situation?<br />
If so, who?<br />
May we contact them?<br />
Created: March 7, 2013 (Revised 1/14/13) Page 4 of 12 1 SLC Benevolent <strong>Application</strong> w-Cover<br />
Letter.docx
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