Community Stewardship Application
To better serve your request to receive some financial assistance towards legal fees and fines, please complete this application.  
Sign in to Google to save your progress. Learn more
First and Last Name: *
Age: *
If you have a spouse and children living at home please list their names and ages.
Phone Number: *
Are you a registered sex offender *
Place of Employment (N/A if unemployed): *
Current balance in fees and fines: *
Do you regularly attend any church? If yes, which church? *
How would receiving this stewardship funding benefit your life? *
I understand that to be eligible to receive any stewardship funding to assist in paying all or a portion of my current fees and fines I will assist in the organizing and hosting of the sale event. I also understand and agree to meet with community members and to share at least three meals with individuals or families. I authorize the Stewardship Committee to share my telephone number with neighbors that request it in order to establish contact and meet for a meal. I understand that receiving any amount of assistance is not guaranteed by submitting this application. Any assistance given will be paid directly to the courts. 
If awarded funds,  I understand that if communication cannot be maintained on my part within a reasonable amount of time, I will forfeit any funds I could receive towards my fees and fines. 
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harding University. Report Abuse