BENEVOLENCE FORM

This form is a required step for all seeking provisional support from One Life Leadership. Please note that we hold the right to decline assistance to anyone who asks. This information is helping for our decision making. This form is not made public.

First Name

Last Name

Phone Number

Date of birth

Gender

Marital Status

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Date of Request

Are you an active member at One Life?

If not, are you a member at another local church?

If not a member at One Life, what is the name of your church?

Are you currently employed?

Yes

Part-time

What type of help are you needing?

Would you be able to share a copy of the bill you are needing help with via email? (office@onelifeli.com)

How much money are you requesting. (Please note this will be considered but does not ensure you will receive the requested amount)

Please share a little about your current need with as much information as possible.

Have you attempted to receive or have you already received assistance elsewhere?

Do you assert, with all honesty, that this information is correct and truthful?

Yes

Disclaimer: One Life Christian Church and its senior leadership hold the right to decline assistance to anyone for any reason, without explanation. Your request will be submitted only to leadership, for consideration. We are committed to helping as many people as we are able to, after prayerful consideration. Please note that this process may take a while. Emergencies and potentially harmful situation should be reporter to the authorities immediately. Email any questions to office@onelifeli.com.

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BENEVOLENCE FORM

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