Benevolence Request Application

Did you read all the scriptures pertaining to benevolence outlined on the benevolence page?*
review benevolence page
- Yes
- No
Do you understand that if your benevolence request is approved the maximum you will be able to receive is 10% of your reported annual tithing/giving amount?*
- Yes
- No
Do you understand that if your benevolence request is approved, the earliest you will receive assistance for this request is 14 days from date of submission?*
- Yes
- No
In order to proceed to application, it is mandatory that all of the above questions are reviewed and agreed upon.

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Your Information
Name*
First Last
Phone*
Address
Street Address City State ZIP Code
Email
Marital Status*
Does your spouse agree with requesting assistance?*
- Yes
- No
Enter your spouses name*
How Many People live in Your Household?
Are you a member of Crossover Bible Fellowship*
- Yes
- No
Membership Date (Month Year)
Have you taken New Life in Christ class?*
- Yes
- No
Are you making plans to attend the next available New Life Class?*
If you haven't done so already and assistance is provided, we would like for you to take the next New Life in Christ class.
- Yes
- No
We are unable to continue with your application at this time. The Understanding Your New Life Class is essential to the lives of every person and we believe it would be vital as a part of this process.

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