Request edit access
Macedonia UMC Community Assistance Form
All requests will be considered by the Community Assistance Committee and will be responded to in 48-72 hours.
Sign in to Google to save your progress. Learn more
Name *
Age *
Phone Number
Street Address
City and State
Email Address
Name and Location of Home Church (if any)
Family *
Name, age and relationship of those who are currently living with you on a daily basis
Current/Most Recent Employer and Occupation
Are you currently working?
List what type of financial aid you receive *
Required
Do you have a payee?
Name and Phone number of Payee
Briefly explain the circumstances that brought about this need. *
I am requesting assistance for... *
I give my permission to have the appropriate church personnel validate any of the above information (write full name and date as a signature). *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NCCUMC. Report Abuse