This application must be completed entirely or it could delay consideration. The applicant MUST call the Deacon of the Week at (859) 806-9223 to setup an appointment immediately after completing this application. Completion of this request does not guarantee assistance. Applicants are encouraged to first seek assistance from community organizations and family members.
Please indicate all sources of income and frequency of which income is received. If you have a spouse please include their sources of income in your calculations also. For each source of income on the list, please indicate how much and how often (weekly, bi-weekly, monthly) you receive it.
Please list all your average monthly expenses.
Please list at least 2 family references
Indicate what items you need assistance with today.
If you are requesting a bill payment, please provide the following information. Checks are written to companies ONLY, if an individual landlord is the payee the church must have the person's social security number or tax ID number.