How Can New Hope Fellowship Help?
This form is to help individuals request and receive support during the COVID-19 pandemic, through the love of Christ, by the New Hope Community.
First and Last Name *
Email *
Phone number *
Age *
I am... *
Required
I need help with... *
Required
If you indicated that you require groceries, please complete the following 4 questions:
If this does not apply, please go to the bottom of the survey, and add any additional comments, or submit if finished.
What is your closest major intersection?
Which region do you live in?
Number of people in household and ages of children under 7 (ie 5 in household, 3 under 7: ages 6, 4, and )
Allergies or other dietary restrictions
Your privacy is of paramount important to us. You agree to the submission of your personal information set out in addition to any further information requested, which will be reviewed by Pastors, Elders, Deacons, Administrative Staff and Finance Committee, in order to assess and process the request identified. Please also be advised that depending on the request submitted, New Hope Fellowship may issue a tax slip in compliance with the Income Tax Act. *
Additional Comments?
Submit
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