Forefront Brooklyn Church: Request for Help

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If you need help due to the spread of COVID-19, please fill out this form and our staff and leadership team will do our best to support you.

If your request is highly specific and not confidential, it may be more effective to post in our community Facebook group in addition to filling out this form: https://www.facebook.com/groups/22102581847825/

Name *

Your Pronouns *

She/Her/Hers

He/Him/His

They/Them/Theirs

Xir/Xim/Xer

Any Pronoun

Other:

Phone Number

Preferred Contact Method? *

Text

Phone Call

Required

What are you experiencing now that you need support for?

Mourning death / loss

Loss of income

Unexpected caregiver

Stress (e.g. relationships, finances)

Vocational/Job Search or Instability

Mental health challenges (e.g. sobriety)

Physical/medical challenges

Other:

What are you requesting? Select as many options below as you need.

Food / Supplies / Help With Errands or Deliveries

Medical assistance / Masks / Personal Protective Equipment (PPE)

Help Accessing Social / Government Services (Food Stamps, Medicaid, Shelter)

Counseling (e.g. grief, family, couples, stress).

Vocational/Job Coaching Support

One to One Prayer with a member of our Prayer Team (Phone or Video)

Connect me to Upcoming Events / Small Groups

Cash / Financial Assistance

Other:

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