Help - LIVING HOPE CHURCH

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Application for Assistance

* Indicates required field

Name *

First

Last

Phone Number *

Email (optional) *

Current Residence/Location *

Names and ages of dependents living with you *

Your connection with Living Hope Church *

Church Member Frequent Attender I have relationships with people in the church

List people who personally know you at Living Hope Church *

As a church we are a community of faith not a support conduit. By requesting help from the church you are inviting people in the church to be personally involved with you and your need. *

I Understand

Description of specific need *

Attach copies of bills (if any) for verification of needed assistance *

Max file size: 20MB

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Application for Assistance