Benevolence Application

We understand this may be a difficult time for you. Our team prayerfully considers each request for assistance. While completing this form does not guarantee approval, it helps us better understand your situation so we can serve you well.

Please note: TC3’s policy is a $500 limit per household within any 18-month period. All requests are kept confidential.

Your name *

Email address *

Phone number *

Marital status *

Household members

Church & Employment Status

Do you attend TC3? *

Are you currently employed? *

Financial Snapshot

Current monthly income from all employment sources? *

Please list employment income.

Are you receiving other assistance? *

Current rent or mortgage *

Please list the monthly amount you pay

Total monthly utilities expense/bill? *

Current auto expense? *

Do you have other assets? *

Home, property, car, other assets

Current amount of liquid assets on hand? *

Include checking, savings, or cash on hand.

List other assets: *

Assistance History

Have you applied for assistance with TC3 before? *

Yes

Request Details

What bills do you need assistance with? *

Include Amount Requested and Payable to; Checks can not be written to individuals.

Amount Requesting

What has caused this need? *

Please attach copies of bills *

Attach any bills or documents related to your request (up to 5 files, max 10MB each). This helps us process your application faster. If you’re unable to upload, someone from our team may follow up to collect them.

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

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