Benevolence Assistance Request

Your name *

Email address *

What is Benevolence Assistance?

It is limited financial assistance that does not need to be paid back to Our City Center. The application will be reviewed by our leadership team and you will contacted with a decision.

Are you a member of Our City Center *

Yes

Primary campus *

Address *

Please give a brief description of your specific needs: *

What amount are you requesting? *

(Please attach documentation if available)

Documentation

Medical bill, invoice, etc.

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

Is there a specific due date associated with your request?

Briefly describe what events have led to your request *

What other financial resources have you explored? *

What steps are you taking to improve your financial situation? *

Would you like to connect with a Care Pastor for other needs or help? *

Any additional Notes:

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