GCC CARE Team Referral
Please fill out this brief form to help us meet your needs and serve you as the body of Christ.
* Required
Email address
*
Your email
In addition, please provide your name and number.
Your answer
Are you submitting a need for:
Yourself
Someone Else
Clear selection
If submitting a need for someone else, who is the best person to contact?
Me
The person I'm referring
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.)
Your answer
What is your preferred method of contact or the preferred method of contact for the person being referred?
Email
Text
Call
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.
Your answer
What are the best ways we can help support you or the person you are referring?
Prayer
Transportation
Meals
Childcare
Someone to listen/someone to give advice
Other:
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.
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