GCC CARE Team Referral
Please fill out this brief form to help us meet your needs and serve you as the body of Christ.
Email address *
In addition, please provide your name and number.
Are you submitting a need for:
Clear selection
If submitting a need for someone else, who is the best person to contact?
Clear selection
If submitting a need for someone else please provide their contact information and your relationship to them (i.e. small group, work, neighbor, etc.)
What is your preferred method of contact or the preferred method of contact for the person being referred?
Clear selection
Please give a brief overview of the current need. For example: A family member passed away, My car broke down and I need help getting places, I or someone I know was diagnosed with a serious illness.
What are the best ways we can help support you or the person you are referring?
Thank you for sharing your need! Someone will be in contact shortly to help serve you.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Winthrop University. Report Abuse