Request for Financial Assistance

If you are in need of material assistance, please fill out this form and one of our pastors will get back to you!

Name

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Email

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This address will receive a confirmation email

Phone

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Address

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What is your connection to Resurrection City Church?

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Please select one option.

I attend Resurrection City Church I know someone who attends Resurrection City Church I live or work in the Hamline-Midway Neighborhood Other

Are you married?

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Please select one option.

Yes No Widowed Divorced

Are you responsible for any kids?

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Please select one option.

Yes No

If yes, how many?

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Please describe the reasons/situations that are leading to your request?

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How do you feel Resurrection City can best assist you?

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Have you applied for financial assistance from any other church, nonprofit, or state program?

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Please select one option.

Yes No

If yes, which programs?

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Description

If you are in need of material assistance, please fill out this form and one of our pastors will get back to you!

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