Assistance Nomination Form

The purpose of this form is to anonymously nominate a member of Grace Fellowship Church for assistance. We do not need contact information for the nominee, but we do need a full name so that we can search the church database to confirm that they are an active member. For non-members, or for general community benevolence requests, please use the form located at gfcnow.com/assistance.

Name of the person you would like to help. *

First

Last

Please share the circumstances and let us know what kind of help is needed. *

Examples: Jim lost his job in March and has fallen behind on rent. Elaine was inured at work and has fallen behind on bills while she waits for her short-term disability to be approved.

Have you or others in your community group already helped? If so, how? *

Example: We purchased groceries and paid Bill and Wendy's mortgage in August.

Would you prefer to remain anonymous? If so, leave the next two fields empty. *

Yes please. I would prefer to remain anonymous.
No. Feel free to mention my name.

NOTE: We are happy to preserve your anonymity if you prefer, but it's helpful to confirm that these requests come from active church members, and to follow up if needed.

Your name (not required).

First

Last

Your phone number (not required).

Phone

CARE

Assistance Nomination Form

2314 South Greenwood Drive, Johnson City, Tennessee 37604