Madison Avenue Baptist Church
Member In-Need Fund Application
* Required
Email address
*
Your email
First and Last Name
*
Your answer
Home Address
*
Street Address, City, State, Zip Code
Your answer
Primary Phone Number
Your answer
Are you a member of Madison Avenue Baptist Church
Yes
No
Other:
Clear selection
Please explain why you are requesting a donation from the MABC In-Need Fund. Include what you would use these funds for, how much you are requesting, and other relevant information.
Your answer
What is the amount you are requesting from the MABC In-Need Fund? The maximum amount requested is $500.00 on a quarterly basis.
Your answer
Funds approved from your application will be dispursed to creditors. The MABC In-Need Fund donations are not made directly to individuals. Please share the creditor name, mailing address, and relevant contact information.
Your answer
Madison Avenue Baptist Church In-need Fund Policy and Guidelines
The full policy and guidelines for the Madison Avenue Baptist Church In-need Fund is available here:
https://mabcnyc.org/wp-content/uploads/2020/12/Madison-Avenue-Baptist-Church-In-need-Fund-Policy-and-Guidelines-.pdf
Submit
Never submit passwords through Google Forms.
This form was created inside of Madison Avenue Baptist Church.
Report Abuse
Forms
