Benevolence Request Form

BENEVOLENCE POLICY

The purpose of this policy is to set forth the conditions for which Fellowship Missionary Baptist Church (Fellowship Chicago) may authorize and disburse funds that are classified as benevolence. Benevolence disbursements will only be approved to provide for the basic necessities of life to Fellowship members in need. Types of disbursements may include food, rent/mortgage assistance, and utilities. Assistance provided as benevolence is intended to be a one-time gift.

All benevolence requests must receive approval by the benevolence committee before any funds are disbursed. Benevolence is a non-taxable charitable contribution provided to help alleviate the members’ hardship.

Please note financial assistance request cannot exceed $1,500.00
If a request is needed again within 6 months, members may be advised to receive financial counseling from Fellowship Credit Union board members before approval.
If request is approved, funds will be made payable directly to the company or leasing office, utility company to satisfy the need. At no time will the funds be payable to the member.

Process

Benevolence requests must be made by the person requesting assistance or by someone who is directly assisting the person in need. The request will automatically be forwarded to the benevolence review board. The review board will follow up with additional questions if needed. The board will then review the request and ensure that it meets the stipulations of this policy. Once the determination has been met the disbursements for approved benevolence will be issued within 2 weeks of the approval.

Member or Non-Member*
- Member
- Non-Member
Applicant's Name*
First Last
Applicant Email*
Spouse's Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Alternate Phone
Reason/Need for Request
Service Regularly Attended*
- 8 AM Sunday Worship Experience
- 10:45 AM Sunday Worship Experience
- 1 PM Sunday Worship Experience
Membership Date
What is your occupation?*
What is your total household income?*
Please specify weekly, bi-weekly, or monthly.
Source of Income
Total Number in Family*
Number of Adults*
Number of Children*
Ages of Family Members
Please describe your present challenge.*
Amount of Support Requested*
Please enter a number less than or equal to 1500.00.
Supporting Documentation
Drop files here or

Max. file size: 256 MB.
Agreement*
I confirm that the information given in this form is true and correct to the best of my knowledge and belief.
ATTENTION
Our Benevolence fund is reserved exclusively for members of our church. While we understand that there may be pressing needs in the wider community, our priority with this particular resource is to support our members who are facing financial hardship. If you are not a member of our church but are in need of assistance, we encourage you to seek help from other local organizations that may be able to assist you. Thank you for your understanding.

Benevolence Request Form