Benevolence Request Form

Kingdom Central is committed to supporting and encouraging our members as well as those outside of our church when walking through difficult seasons. At times, we have all had challenges in meeting our financial obligations. We know that sometimes it seems impossible to carry the burden without the assistance of others.

The following form must be completed before we are able to consider your request.

Benevolence Request

First Name

Last Name

Birthdate

Marital Status

Spouse's First Name

Spouse's Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Employment Status:

Current Employer

Have you discussed your situation with any of the church leadership?

Amount Requested

What will the amount requested be used for?

What steps have you taken to improve your financial situation?

Have you previously received benevolence assistance from Kingdom Central in the last 6 months?

What is your current involvement with Kingdom Central?

Where do you attend church?

Applicant Acknowledgment

I understand that completion of this form does not guarantee assistance. Please be assured that we will prayerfully consider your request and respond accordingly within 7 days. The benevolence team reserves the right to decline assistance without explanation.

I understand that:

KC does not provide assistance with rent deposits, credit card payments, bank fees, dental/medical bills, tuition, attorney/legal fees, or entertainment subscription services.
KC does not distribute cash.
KC does not distribute assistance to anyone not named in the request.

I acknowledge that all of the information provided in this request is truthful and accurate.

Date Input

Signature

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