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 />
To determine how and / or if we can be of assistance, please provide us the following information.<br />
(Use additional separate page if necessary.)<br />
If you are requesting a bill payment, please supply a copy of the bill(s). (Copies only)<br />
What is your need today and what specific help are you requesting?<br />
A. Need (Example:<br />
Electricity bill)<br />
B. Provider (Example:<br />
Wisconsin Public Svc)<br />
C. Amount (Example:<br />
$153.85)<br />
What is the crisis or situation that has caused you to ask for assistance? *<br />
If assisted by SLC, how will you pay for next month’s rent, utilities, etc.? *<br />
Have you filed for bankruptcy before? Please provide details and circumstances. *<br />
Created: March 7, 2013 (Revised 1/14/13) Page 6 of 12 1 SLC Benevolent <strong>Application</strong> w-Cover<br />
Letter.docx
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