Benevolence

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Benevolence Application

Our benevolence system is really a part of Harvest’s spiritual formation process and ideally we don’t want to turn anyone away, but because of our limited resources dedicated to benevolence specifically, we ask that if you are in need that you come and attend a Sunday service with us and afterward find a Harvest Now staff person and have a direct conversation with them in order to determine what the next best steps are for us to help!

**PLEASE NOTE: This application must be completely filled out in order to be considered.
Name *
Name
Birth Date *
Birth Date
Address *
Address
Previous Address *
Previous Address
EMPLOYMENT
Work Phone
Work Phone
Spouse's work phone
Spouse's work phone
If unemployed, list all the jobs you have applied for:
Phone:
Phone:
Date of application:
Date of application:
Phone:
Phone:
Date of application
Date of application
Phone:
Phone:
Date of application:
Date of application:
Contact Name:
Contact Name:
Phone
Phone
Mailing Address:
Mailing Address:
Date of membership:
Date of membership:
Phone:
Phone:
NET Household Income This Month
Unemployment
EXPENSES
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL DEBT
$
$
$
$
$
*PLEASE READ THE FOLLOWING BEFORE SIGNING APPLICATION* I understand that any and all information supplied by me on this form will be verified. All information will be available to the Harvest Bible Chapel Benevolence Team and other such agencies as the team deems appropriate. No warranty of any kind whatsoever is being made, given or implied.
Date 5
Date 5