REQUEST FOR FOOD ASSISTANCE
Norcross pickup:  Food Drive Tent Monday-Wednesday from 3pm-5pm only.
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April 13, 2020
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Name
SPOUSES NAME
Phone number
Address
Previous Assistance YTD.
ACTIVE MEMBER OF VICTORY CHURCH?  SMALL GROUP MEMBER?
HOW WERE THEY REFERRED TO VICTORY CHURCH?  
DESCRIBE WHAT CAUSED THIS NEED TO ARISE?
HAVE WE HELPED IN THE PAST?  IF YES, HOW MANY TIMES?
HAVE THEY RECEIVED ASSISTANCE ANY WHERE ELSE (OTHER ORGANIZATIONS, FAMILY MEMBERS OR CHURCHES)?  IF SO, HOW MUCH HAVE THEY OFFERED?  
VIRTUAL ID CHECKED?
Approved by and amount.
DISAPPROVED AND REASON.  
Distributed by and Date:
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