Deacons' Fund: Request for Grace Assistance
Grace Community Church will accept requests for assistance from members of Grace Community Church. Assistance may be provided to those outside of Grace Community who meet certain guidelines. Requests will be considered as one-time, emergency needs (i.e.: eviction notice, medication, utilities shut-off notice, food assistance). Strict guidelines are in place regarding amounts provided. These guidelines are non-negotiable.

Please complete this form to the best of your ability. Requests are addressed Monday-Thursday only. You will be contacted within 24-hours during the designated days. The Deacons' Fund Team does NOT have an office at Grace Community Church and cannot be contacted via the church. Please note that submission of this form does not guarantee approval. By filing out this application for assistance, you grant Grace Community Church Deacons' Fund Team permission to verify any and all information as contained in your request.

If you are approved, you will be required to come to the church with all appropriate documentation (i.e.: photo ID, rent receipts, lease, utility receipts, shut off notices, etc.). Without this information, you will NOT receive assistance. Please note that NO checks will be mailed directly from Grace Community. All checks issued will be written directly to the creditor and NOT to the applicant. It will be your responsibility to bring the payment to the appropriate person for payment.

First Name:
Your answer
Last Name:
Your answer
Address (including city, state, and zip code):
Your answer
Email Address:
Your answer
Phone Number:
Your answer
List names and ages of everyone living in the household.
Your answer
Explain in detail what you are requesting.
Your answer
Have you requested assistance from Grace in the past?
If yes, what assistance was granted?
Your answer
What other state agencies have you contacted regarding this need?
Your answer
Are you employed?
If yes, where are you employed?
Your answer
What is your take-home pay?
Your answer
How much do you receive in government assistance (SNAP, HEAP, SSI, SSD, Unemployment)?
Your answer
How much do you receive in child support?
Your answer
Which Grace Community campus do you attend?
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