[AC] Eleos Here Assistance Application

Eleos Assistance exists to provide short-term financial relief for those who regularly attend Orchard Hill and are consistently involved in the church who happen to be facing unexpected times of hardship. We appreciate your understanding as we pray through and process all requests.

Please fill out this assistance application for financial consideration.

Your name *

Email address *

Phone number *

Address *

Gender *

Assistance Agreement *

As a church, our hope is to handle each of these requests with careful consideration. We may not always be able to commit to meeting your specific request at this time but we genuinely appreciate you taking the time to fill out this form.

I understand that by submitting this Eleos Here Financial Assistance form:

My application is not a guarantee that my specific request will be fulfilled but I am asking Orchard Hill Church to consider providing appropriate short-term assistance.

Do you regularly attend Orchard Hill Church? *

Specifically, what are you asking of Orchard Hill Church? *

What is the amount of your financial request and who would it be payable to? *

Have you requested financial assistance in the past? *

Do you have any additional comments?

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