Financial Assistance Request | Milwood Baptist Church

Thank you for submitting your request for financial aid to Milwood Baptist church.

Our Deacons look forward to meeting with you after our Sunday Service which we request you attend starting at 10:30AM.

Our desire at Milwood Baptist is to help as many people as possible with the money budgeted for Benevolence. In order to accomplish this we are limiting our contributions for financial aid to $25, $50 or $100.

We empathize with your current financial needs but are also concerned with your relationship with Christ and fellowship with His church. To this end we encourage you to attend Milwood Baptist or other Bible believing church in order find regular Christian fellowship and support from believers in Christ.

Sincerely,

Steve Polofka

Deacon of Benevolence

Name (Required)

Email Address (Required)

APPLICATION FOR FINANCIAL ASSISTANCE

OUR PLEDGE OF CONFIDENTIALITY

The information on this form will be held in strict confidence and is required only to allow Milwood to be faithful stewards of the resources which God has blessed us with. Please attempt to answer all questions on this form. While we realize that many are personal in nature, the more specific you can be, the easier it will be for us to evaluate your situation.

Date: (Required)

Address: (Required)

# of years at current address: (Required)

Do you rent or own? (Required)

Can you provide an ID? (Required)

Did someone recommend you to Milwood for assistance? (Required)

If so, please name: (Required)

Are you willing to submit to a background check using the above information? (Required)

Are you willing or interested in financial planning or counseling? (Required)

Name, sex, and age of everyone living with you: (Required)

What is your immediate need? (Required)

(monetary amount, transportation, clothing items, etc.)

What is the purpose of your need? (Required)

(ex. to pay rent, buy groceries, visit the doctor, etc.)

RESOURCES

Present Employer: (Required)

Employer address: (Required)

Employer phone #: (Required)

If unemployed, list the last three places you have worked or applied to work, and the dates: (Required)

How long have you been unemployed? (Required)

Are there any obstacles that keep you from taking a job? (transportation, childcare, disability, etc) If yes, please explain: (Required)

Have you contacted anyone else for assistance in the last six months? Please specify and identify any support which was received. (family, friends, other churches, agencies) (Required)

Are you willing to work today if we know of an available job? (Required)

CHURCH

Do you attend a church locally? (Required)

If so, did your church offer you assistance? (Required)

Name and location of your church: (Required)

Name of Pastor: (Required)

How long have you attended this church? (Required)

INCOME/EXPENSES

Gross Monthly Income - Please list your current monthly income (sources such as employment, bonuses, commissions, social assistance - food stamps, welfare, HEAP, etc.; alimony, child support, or other) and the amount from each. (Required)

Monthly Expenses - Please list the type (rent/mortgage, auto, taxes, utilities, phone, cable, etc) and the amount owed monthly. (Required)

OTHER RESOURCES

Please list other sources of assistance that you have sought (parents, family, loans, sale of personal property, social programs, consumer credit counseling agency, creditors). (Required)

If you live in the area, and your need is ongoing, are you willing to submit to financial and spiritual counseling? (Required)

What steps are you taking to improve your present situation? (Required)

If we are unable to help you, what other options do you have? (Required)

Solve 2 + 3 = ?

Our Sundays

9:30 AM | Building Blocks

10:30 AM | Worship Service

5:00 PM | Prayer Service

OUR JOY. HIS GLORY.

512.834.1100

admin@milwoodbaptist.com

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