| 
  • If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.

  • Stop wasting time looking for files and revisions. Connect your Gmail, DriveDropbox, and Slack accounts and in less than 2 minutes, Dokkio will automatically organize all your file attachments. Learn more and claim your free account.

View
 

Basic Benevolence Assistance Form

Page history last edited by Loraine 4 years, 4 months ago

Bonnyville Baptist Church

Benevolent (Gift Card/Gas/Prescriptions) Assistance Form

 

Advise recipient that we are not a social service agency, we depend on donations from our people and we cannot provide long-term assistance.     Limits on assistance for gift cards are $75/month to a maximum of $475/year per family and For individuals $275/year.

 

1)      How was individual referred?  _______________________

 

2)      Is the individual of legal age status?   YES/NO

(if ‘no’ legal parent or guardian’s financial status must be assumed)

 

3)      Have they gone to the Food Bank?  YES/NO

 

4)      Are they on social assistance?   YES/NO  

 

5)      Has the individual received gift cards in the last calendar year?   YES/NO

 

6)      Reason applying for assistance: 

____   Accident

____   Legitimate financial difficulty                

____   Unavoidable unemployment situation (state reason) ___________________________

____  Other (state reason)  _____________________________________________________

 

Assistance beyond the basic must be approved by the Senior Pastor and requires proof of financial need.

Name of Individual being granted assistance: ______________________________________________________

Name of individual(s) granting assistance:_____________________ ___________________________________

 

Comments (0)

You don't have permission to comment on this page.