Free People Church

Financial Assistance Application

Please complete the Financial Assistance Application. Take your time and answer completely and honestly.

Application Purpose

Free People Church seeks to be a source of support to those in our community that are in need, particularly those who are actively engaged in the Free People Family. These guidelines are not meant to discourage you, but to allow us to be better equipped to evaluate your current situation and determine how to best help.

Application Process and Limitations

Limitations of Usage: You may apply for financial assistance from Free People Church not more than once every six months. If you have not regularly engaged in serving, giving or Groups at Free People for at least six months, your assistance limit is one $50 Kroger gift card.

Interview: Applicants may be interviewed before a final decision is made. We reserve the right to ask for documentation to verify eligibility for assistance. In-person interviews can only be scheduled following the last service on a given Sunday.

Processing: This application is to be completed prior to the interview process. Please allow one week for review of your application. You may be contacted via phone, e-mail or letter.

Payments: Payments will be made to third parties only.

Documentation: All applicants are required to complete the Financial Assistance Application in its entirety. Applicants are also required to provide supporting documents where needed (i.e., valid ID, invoices, bills, etc.).

Availability of Funds: Free People Church may provide assistance with the following: rent, utilities, food, clothing or other emergency needs, depending on available funds and the nature of the need requested.

Exclusions: Free People Church will not pay for non-emergency items, which include, but are not limited to cell phone bills, cable/satellite TV bills, insurance payments, credit card bills, etc.

Application Process and Limitations
I have reviewed and understand the limitations and process.

Requirements

Anyone who engages in serving, giving or Groups at Free People is eligible to apply for financial assistance as needed. Any other community member within 20 miles of the church location is eligible to complete the application process with the restrictions outlined below.

Have you applied for financial assistance at Free People within the last six months?

Do you currently attend Free People Church?

Do you live within 20 miles of Free People Church?

Consent to Restrictions

I understand that because I am not a part of the Free People Family, my ability to receive financial assistance is limited to $50 and there is no guarantee of financial support from Free People Church.
I agree to the restrictions

How long have you attended Free People?

Have you been in a Free People Group?

Are you currently serving?

Do you consistently tithe?

Contact Info

First Name

Last Name

Phone Number

Birth Date

Please enter all people currently living in your home

Your Employment Info

Are you currently employed?

Your Employer

Your Employer's Address

Other Income (alimony, child support, etc.)

Household Expenses

What are your total monthly household expenses (budget)?

Do you currently have a household budget?

Do you have adequate income to support your budget going forward?

Your Requested Need

Please describe your current need.

How much financial assistance are you requesting?

Please explain in detail the circumstances which brought about this need.

What steps have you taken to address this need?

Have you been helped previously by this or any other church?

What other organizations or personal contacts have you reached out to for assistance on the current need?

How are they able to assist you?

Is this for an upcoming or overdue bill?

Bill Information

Company Name

Company Phone

Company Address

Personal Reference 1

First Name

Last Name

Phone Number

Email Address

Relationship

Personal Reference 2

First Name

Last Name

Phone Number

Email Address

Relationship

Certification

By electronically signing this application, I am certifying that all information entered is complete, accurate and truthful. I have not applied for financial assistance from Free People within the last six months. I understand that financial assistance will only be made payable to third parties. I understand that consideration for assistance is only applicable to emergency needs, such as rent, utilities, food, and clothing, and Free People will not consider helping with non-emergency items, such as bills for TV, cell phones, insurance payments, credit cards, etc. I understand that there is a waiting period for consideration before a decision will be made.
I agree that all information provided is accurate and truthful, and I agree to the statement above.

Electronic Signature

By entering your name in this box, you are electronically signing this application and certifying that all information provided is true, complete and accurate.

Submit

Financial Assistance Application

Application Purpose

Application Process and Limitations

Requirements

Consent to Restrictions

Contact Info

Your Employment Info

Household Expenses

Your Requested Need

Bill Information

Personal Reference 1

Personal Reference 2

Certification

Electronic Signature

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