Benevolence Application - Mount Hope Church

MOUNT HOPE CHURCH GUIDELINES FOR FINANCIAL HELP

Thank you for contacting Mount Hope Church for help with your financial need. These guidelines have been established to explain what the criteria is to receive financial assistance and the application procedure. Please read these guidelines carefully and ask questions about any part you do not understand. The Mount Hope Church Financial Helps Fund is not set up as a food and finance outreach.

(View upcoming food distributions.) There are other local organizations that specialize in these types of outreaches. Please view our Community Resource Guide for available resources in our area.

The Mount Hope Church Benevolence Fund was established to help Mount Hope Church members who are facing a financial crisis situation. This includes assistance with temporary costs for housing, utilities (water, gas, electric, etc), current medical needs, or food.

GUIDELINES & REQUIREMENTS

Our focus is first with our Mount Hope family, so tithing Mount Hope Members will receive first consideration.
Cash or checks will not be given to you directly. When checks are written, they will be made payable to a company—for example, a leasing agency, mortgage company, utility company, or similar—and a valid bill must be provided.
Financial assistance is meant for temporary rehabilitation, and should not be sought for supplemental income.

APPLICATION PROCEDURE

Everyone requesting financial help must complete the form below.
Once you are healthier financially, please consider giving to the Mount Hope Church Benevolence Fund so others may be helped in the future. You can place it in an offering envelope designating it to be credited to the Benevolence Fund. This will replenish the account for others and will be credited to you as giving.

Personal Information
Full Name*
This field is hidden when viewing the form
Name*
First Middle Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Date of Birth*
MM slash DD slash YYYY
Are you a member of Mount Hope Church?*
An official Mount Hope Church member attends Sunday services regularly, has completed Growth Track, tithes consistently, and is actively involved in advancing our mission and vision in our community.
Unfortunately, we are only receiving Benevolence Application for Mount Hope Member.*
Please share if you'd like more information about the following:
- I Would Like to Become a Member
- Prayer
- Financial Classes
- Food Distribution Days
- Available Community Resources
Marital Status*
Spouse Information
Spouse Full Name
This field is hidden when viewing the form
Spouse Name
First Middle Last
Spouse Date of Birth
MM slash DD slash YYYY
Spouse Email
Do you and your spouse live at the same address?
- Yes
- No
If no, please list their address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Spouse Phone Number
Children Information
Children & Other People Living In Your Home
Name (Include Their Last Name If It Is Not The Same As Yours), Age, and Relationship to you
Your Specific Request
Describe your specific request to Mount Hope Church. Include amount needed, dates when it's due, what it's for, and to whom it needs to be paid to. The more specific you are in your request, the better we are able to help you.
What I Need Help With Is ...*
Please supply any bill or invoice if applicable
Max. file size: 128 MB.
What Steps Are YOU Taking To Improve This Situation?*
Financial Summary
Total Monthly Income
Total Monthly Expenses
Net Income (Monthly)
What I Own
Checking Accounts & Cash
Savings Accounts
Income
Are you currently employed?*
- No
- Yes, I have a job
- Yes, I have two jobs
Is your spouse currently employed?*
- No
- Yes, they have a job
- I'm not married
JOB #1
Position
Hourly Wage
Hours per week
I get paid...
Employer's Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
JOB #2
Position
Hourly Wage
Hours per week
I get paid...
- Weekly
- Every other week
- Monthly
- Commission
- Salary
Employer's Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
SPOUSE JOB
Position
Hourly Wage
Hours per week
Spouse gets paid...
- Weekly
- Every other week
- Monthly
- Commission
- Salary
Employer's Name
What I Owe
List the TOTAL AMOUNT you OWE on the following ... (include interest rate%)
Item #1
Total owed
Item #2
Total owed
Item #3
Total owed
Other
What I Spend
Total Housing Cost
Total Utility Cost
Total Automotive Cost
Total Credit Cards
Total Loan Payments
Total Health Care / Insurance
Total Food
Total Entertainment
Total Child Support
Total Child Care
Church & Family Relationships
Is Your Spouse A Member Of Mount Hope Church?
- Yes
- No
What Services Do You Attend At Mount Hope Church?*
- 8:30 am (Sunday)
- 10:30 am (Sunday)
- 7:00 pm (Wednesday)
- I Don't Attend
Names Of Family Members Or Close Friends Who Attend Mount Hope Church
What Ministries Or Groups Are You Or Your Spouse Involved In At Mount Hope Church?
If You Don't Attend Mount Hope Church, Please List Your Home Church Name, Where It's Located And Your Pastor's Name
Have You Asked Your Home Church For Financial Help?
- Yes
- No
What Was Their Response?
Have You Asked Your Family For Financial Help?*
- Yes
- No
What Was Their Response?
Understanding God's Principles
Have You Accepted Jesus Christ As Your Lord And Savior?*
- Yes
- No
Do You Go To Church Regularly?*
- Yes
- No
Do You Tithe Faithfully?*
- Yes
- No
Explain Your Understanding Of Tithing*
Have You Prayed For The Lord To Give You The Wisdom On How To Manage This Situation?*
- Yes
- No
Share what the response from God was?
Understanding the Benevolence Guidelines
Have You Read The Benevolence Guidelines And Understand Them?*
- Yes
- No
Do You Understand That Filling Out This Application Does NOT Guarantee You Will Receive Financial Help?*
- Yes
- No
Do You Fit The Requirements Listed In The Guidelines For Eligibility For Financial Help?*
- Yes
- No
If Not, Which Requirement(s) Need To Be Fulfilled So You May Qualify For Eligibilty?
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Completed Application Signatures
The information provided by me on this form is true, to the best of my knowledge. I give permission to the leadership of Mount Hope Church, namely the Elder, Pastor or Financial Counselor to whom I submit this application form, to contact any person(s) or organization(s) named by me on this form to clarify information or otherwise assist in determing the need. I understand that all the information on this form is confidential and will be treated as such. I also understand that by completing and submitting this application, I am NOT guaranteed any financial help by Mount Hope Church.
Please write your full name as your digital signature.*
Today's Date
MM slash DD slash YYYY
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Phone
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