Benevolence Request Form

The ASC Benevolence Fund exists to assist people in our church community who regularly attend our church during times of crisis and hardship, in order to help meet basic needs. Benevolence is given on a case-by- case basis.
POLICY: Benevolence funds are based on a percentage of our giving and we cannot guarantee that funds will be available at any given time.

First Name

Last Name

Email

Phone Number

Marital Status

How much are you requesting?

What type of payment?

One -Time

Two-Month Payment (amount x2)

Three-Month Payment (amount x3)

When do you need the payment by? (specific date? ASAP?)

Reason for Request: (Please make this as detailed as possible)