Financial Assistance Form
The Leadership Team (LT) is charged with the Biblical stewardship and oversight of money donated to the Crossbridge Christian Church Compassion Fund. Therefore, a reasonable degree of verification of the self-reported financial situation of applicants is necessary. To that end the LT asks that each applicant provide statements showing current financial data, and be willing to provide similar documentation at any time the LT requests it while he or she is receiving assistance.

*By submitting this form you are providing true and accurate information and understand that misrepresentation or falsification of information could disqualify you from receiving these funds. Please scan and email a copy of your bill due to If you have questions about your submission, please send us an email or leave a message with our church by calling (850) 583-0712.

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Name *
First and last name
Email *
Phone number *
Street Address *
City *
How were you referred to the Leadership Team? *
Do you attend Crossbridge? *
Type of Assistance Requested: *
Explain "Other":
What is the value of your total current assets, not including any living necessities such as a house, vehicle, medical equipment or household furnishings? *
What is the value of your current outstanding debts? *
What circumstances created your need: *
Dollar amount requested: *
Payable To: *
Have you met with ECHO? *
Please Explain any other financial assistance you have received from other organizations or agencies? *
Additional prayer requests or support needs: *
Check here to indicate that Crossbridge has your permission to contact other community organizations regarding your request *
I have read and understand the Crossbridge Christian Church Benevolence Fund Policy and Guidelines and I understand that funds from the Crossbridge Christian Church Benevolence Fund are disbursed at the discretion of the LT, in accordance with the Policy and the Biblical principles listed therein, and are dependent upon money being available in the Fund.  I also understand that the LT may re-evaluate my situation at any time. *
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