State College Alliance Church Coronavirus Care Form
State College Alliance Church is committed to being the hands and feet of Jesus to our congregation and community through the current health situation. We know that various needs may arise for you and your family in this time and will do our best to help meet those needs or connect you with others who might be able to help. Please fill out the form below if you have a prayer or care need, and someone will be in touch with you as soon as possible to communicate next steps. Please note that while we will do our best, we may not be able to meet every request we receive.
Your Name *
Your answer
Your email address
Your answer
Your contact phone
Your answer
How do you prefer to be contacted? *
Required
Do you have a prayer need? If so, describe it below.
Your answer
How can we direct your prayer request?
Do you have any care needs? If so, check whichever boxes below best describe them, or check "other" and list your need.
Please describe any care needs in greater detail.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of State College Alliance Church. Report Abuse