Flagstone Benevolence Request
Note: To better accommodate your request, all non-flagstone church members submitting a benevolence request are expected to attend an in person discussion to review your submission. The meeting will be the first Sunday following your request and will take place immediately after church service.

By completing and submitting this form, I acknowledge that...
• Submitting this form does not guarantee that I will receive assistance.
• Whatever assistance I receive is a one-time gift and I may not submit another request for a period of at least 6 months from today's date.
• The information I have provided below is accurate and true to the best of my knowledge.
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Benevolence guidelines
Follow this link to read the guidelines set by our Benevolence Committee: www.flagstonecoc.org/share/BenevolenceGuidelines.htm
Name *
Address *
City *
State *
Email *
Phone *
Please enter the best phone number we can reach you at.
Preferred method of contact
Are you currently employed?
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Name of Employer (if currently employed)
If married, is your spouse employed?
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Name of spouse's employer
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