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Austin Christian Church
  • Public Website
  • Locations
    • North Side
    • Tribe
  • Events
  • Sermons
  • Ministries
    • Alpha Omega
    • Kingdom Kids
    • Missions
    • Remembering the Poor
    • Small Groups
    • Youth and Family
  • About Us
    • Ministry Staff
    • Our Beliefs
    • Become a Member
  • Register

Benevolence Request Form

Please complete the form below to request benevolence assistance on behalf on an individual. This form is to be completed by the Staff Member, Deacon, Small Group Leader or Board Member that is making the request. It is not to be given to the individual that assistance is being requested for. All payments will be made directly to the vendor to which the payment is due.

"*" indicates required fields

Individual Making the Request

The leader that is filling out the form
Individual Making Request*

Individual Needing Assistance

Individual Needing Assistance*
Address
Does this individual know that you are making a request on their behalf?*

Request

Purpose*
Make Check Payable To Date Needed By Amount Requested  
     
  • Edit
  • Delete
There are no Disbursements.

Maximum number of disbursements reached.

Who the funds are going to. For example Austin Energy or Wells Fargo Bank.
In order to submit this benevolence request, please enter one or more disbursement amounts.

General Information

Is this recipient related to any employee, officer or board member of the Church?*
Has recipient received assistance from the Church in the past 12 months?*
Has the recipient taken Financial Peace University or another biblically based financial course?*
This field is for validation purposes and should be left unchanged.
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