Benevolence Form
All information provided by this form will be handled respectfully and confidentially by the staff and the Business/Finance Team.

If you have any questions regarding your request, please contact us at

*************************ALC Benevolence Request Policy*************************
The benevolence fund is intended as a source of last resort, to be used when the family or individual requesting assistance has explored all other possibilities of help from family, friends, savings, or investments. It is intended to be a temporary help during a time of crisis.

• Payments will not be made to the individual needing assistance but will be directed
as appropriate, to the landlord, utility company or other party to whom money is owed, so long as sufficient supporting invoices or other documentation is provided.

• Benevolence request is limited to three requests per month base on a first come first serve basic.

• Benevolence request will be considered for any members who have been a member of ALC for 90 days.

Needs that may not be met by the benevolence fund include:
• School expenses, business investments, or anything that brings financial profit to the individual or family
• Paying off credit cards. Exceptions can be made when an individual has had to use a credit card in a crisis or emergency (e.g., hospitalization, death, etc.)
• Needs of individuals who are wanted by the law or for paying fines as a result of breaking the law
• Legal fees
• Penalties relating to late payments or irresponsible actions
• Private school fees or tuition
• Business ventures or investments
Name (First & Last Name) *
Address *
How long have you lived at that address? *
Phone Number *
Email Address *
How many in your household? *
Ages? *
Are you currently employed? *
Occupation *
Do you attend worship services at ALC? *
If yes, how long have you been attending?
How long have you been a member of ALC?
Are you currently involved in any other ministry area of ALC? *
If yes, for how long?
What is your present need of assistance? *
What amount are you requesting from ALC? *
Check made payable to... *
Why did you come to ALC for assistance? *
What steps have you already taken to meet this need> *
Have you previously received assistance from ALC *
If so, when? Amount?
What need was covered by the previous assistance?
What is your plan to overcome your current financial struggles in order to become self-sufficient? How long do you anticipate it will take to become financially independent? What steps are you currently taking? *
By typing my name below, I understand the ALC Benevolence Request Policy. *
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