Crestview Compassion Application

(To be completed by applicant needing assistance)

Applicants for financial assistance are awarded financial assistance based on financial need. Applicants are not granted financial assistance based on relationships between the applicant and church leaders or significant church contributors. The church does not discriminate applicants based upon race, color, sex, national origin, age, or disability. However, the church reserves the right to discriminate based on religion.

The church may provide short-term (emergency) assistance and longer-term aid to ensure that applicants have the basic necessities such as food, clothing, housing, transportation, and medical assistance (including psychological counseling). The preferred method of providing assistance will be to pay the applicant’s needs directly to a business provider. The type of aid that is appropriate depends on the individual’s needs and available resources.

Your name *

Email address *

Meeting Commitment *

Crestview Compassion Ministry is not focused simply on meeting one need; we want to get to know you, hear your story, and build a relationship with you so that we can find the best possible solution for you. Therefore, we ask that you commit to meet with one of our trained volunteers a minimum of three (3) times so we can start building that relationship with you. Are you willing to meet with us three (3) times?

Yes

Date *

Phone number *

Address *

In your own words, describe the nature of the assistance being requested. *

Of what Church are you a member or attend? *

How did you hear about us? *

Signature *

Type your first and last name.