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Church Benevolence Request Form

The document is a request form for benevolence assistance from Union Park Church of the Nazarene. It collects contact and financial information to determine eligibility for short-term emergency financial aid. The form asks for the applicant's name, address, phone number, church involvement, description of their financial situation, amount requested, purpose, who the check should be payable to, employment status, household income, and an explanation of needs. It requires signatures and includes space for the treasurer's use in processing the request.

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0% found this document useful (0 votes)
1K views6 pages

Church Benevolence Request Form

The document is a request form for benevolence assistance from Union Park Church of the Nazarene. It collects contact and financial information to determine eligibility for short-term emergency financial aid. The form asks for the applicant's name, address, phone number, church involvement, description of their financial situation, amount requested, purpose, who the check should be payable to, employment status, household income, and an explanation of needs. It requires signatures and includes space for the treasurer's use in processing the request.

Uploaded by

api-292482152
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Union Park Church of the Nazarene

Benevolence Request Form

Name: Date:

Address: Email:

Phone# (Home): (Cell) (Work)

Are you a member of Church?  Yes  No


Which best describes your attendance at Church?
 Frequent  Sometimes  Seldom  Never
In your opinion which description best describes your financial situation?
 Short term emergency  Short term problem  Long term problem

The total amount of your request is


What is it for?
Who should we make the check payable to?

Are you currently employed?  Yes  No  Full-Time  Part-Time


Name of Employer
If married, is your spouse employed?  Yes  No  Full-Time  Part-Time
Name of Employer
Total number of people in the household:
Total weekly household income:
Briefly, explain your needs and what led you to request assistance. We will be praying for you and
providing counsel where needed.

Signature If married, signature of spouse

For Treasurer’s Use Only

Check to:

Check dated Check# Amount___________

Give to person completing the form  or Check mailed to address (above)


Approved by
Benevolence Process
Church Process Guidelines

The purpose of the Benevolence Fund is to provide financial aid to an individual who is in need on an
urgent basis. The Benevolence Fund is not applicable for cases which need long-term financial support.
The church has the right to adjust or to disapprove an applicant’s request and may consider providing
assistance other than monetary help.

Applicants are not granted financial assistance based on relationships between church leaders or being a
significant church contributor. The church does not discriminate between applicants based upon race,
color, sex, national origin, age, geographic territory, or disability. The Church Board may provide short-
term (or emergency) assistance to ensure that an applicant has the basic necessities such as food,
housing, transportation, and medical assistance (including counseling).

The preferred method of providing assistance to pay for the applicant’s need directly to the business
provider. Assistance may also be provided in the form of goods or services. The type of aid that is
appropriate depends on the individual’s needs and available resources.

Basic Requirements

1. Active participant of Union Park Church of the Nazarene


2. Need must be related to a short-term financial crisis (medical emergency, accidents, loss of job,
etc.)

Benevolence Process

1. Complete and submit the Benevolence Request Form.


2. The Church Board will review the form for approval (note: typically, this will happen during the
monthly meeting but can happen via email if it is an emergency).
3. The Church Board will approve or deny the request, or ask for additional information.
4. If approved, the check will be distributed.
5. A Board Member may follow up with the recipient and give an update at the next Church Board
meeting.

Additional Criteria

At the discretion of the Church Board, you may be requested (if married, both husband and wife) to do
one or more of the following:
1. Provide documentation regarding your income, personal bank accounts balances and expenses.
2. Participation in financial counseling.
3. Completion of community service relevant to the needs of Union Park Church of the Nazarene
(van driver, custodial services, support children’s ministry, etc).
Orange County Florida Food Pantries

A number of food banks in Orange County and Orlando, Florida serve the needy in the community. The
centers, which can include churches, are primarily food pantries that may offer free food, groceries, and
possibly clothing and small household items. In addition, many Orange County Florida food banks will
also offer meals or bag lunches for those who need additional support or the homeless in the region.

The centers are also great places to learn about a wide variety of other programs and resources available
for the low income. You can oftentimes receive help in applying for additional programs too, such as food
stamps, government insurance, or meals for your child at school. Call a food pantry near you in the greater
Orlando region to learn more or to apply for help.

Loaves and Fishes


Address - 206 East 8th Street
Apopka, Florida 32703
Phone number - (407) 886-6005. Meals, groceries, food vouchers, and perishable items can all be offered
by this local food bank in Orange County Florida.

Christian Service Center For Central Florida - West Orange Office


Main office - 300 West Franklin Street
Ocoee, Florida 34761
Primary phone number - (407) 656-6678
Partners with other local churches and religious organizations to coordinate programs for the low income
and needy.

Brother’s Keeper - St. Charles Borromeo Outreach Ministry


Address of church - 4353 Edgewater Drive
Orlando, FL 32804
Telephone - (407) 849-0735

Catholic Charities Of Central Florida Family Assistance Office


Address - 1771 North Semoran Boulevard Suite B
Orlando, Florida 32807
Phone number - (407) 658-0999
Your local Catholic Charities will often provide financial assistance for bills and housing, in addition to
free food. They usually will provide case management, counseling, and information on a wide array of
government assistance programs.

Christian Service Center For Central Florida, Inc.


Main address - 808 West Central Boulevard
Orlando, Florida 32805
Dial the center at (407) 425-2523

Church of the Great Commission


5032 Forsyth Commerce Road
Orlando, Florida 32807
Call (321) 206-4946

Community Food And Outreach Center


Address - 150 West Michigan Street
Orlando, Florida 32806-4076
Call (407) 650-0774 for information on groceries and food assistance. Outreach is also available, which
can include access to social services and government aid.
First Baptist Church Of Pine Castle
Location - 1001 Hoffner Avenue
Orlando, Florida 32809
Church phone number - (407) 855-4741

International Harvest Church


Address of this church - 2520 West Colonial Drive
Orlando, FL 32804
Phone: (407) 849-2226

Jewish Family Services Of Greater Orlando, Inc.


11184 South Apopka Vineland Road
Orlando, Florida 32836
(407) 387-5371
People of all religions can get help, free food, and support from the Jewish Center. Programs are open to
any Orange County Florida individual who needs assistance.

Joy Metropolitan Community Church


Location of church - 2351 South Ferncreek Avenue
Orlando, Florida 32806
Call - (407) 894-1081

New Covenant Church Of Central Florida, Inc.


990 Belvedere Road
Orlando, FL 32820
Telephone number - (407) 568-1267

Pact of Faith
Address - 53 South Semoran Boulevard
Orlando, Florida 32807
Dial - (407) 953-1449

Salvation Army Of Orange County Administration - Men's Transitional Living Center – The local
Salvation Army has two locations in the Orlando and Orange County area. A food pantry is on site, as
well as thrift stores. They also offer case management and information on state and federal government
programs, such as TANF. They also coordinate programs with the United Way and local charities, such as
churches.

• First location - 624 Lexington Avenue


Orlando, FL 32801
Phone number - (407) 423-8581
• Second location - 400 West Colonial Drive
Orlando, Florida 32804-6802
Dial - (407) 423-8581

University Seventh Day Adventist Church


Address - 9191 University Boulevard
Orlando, Florida 32817-1704
Telephone number – (407) 657-4696
Christian Service Center Winter Park Office – This free or low cost food pantry is located inside of a
church.
Address - 3377 Aloma Avenue Inside Redeemer Lutheran Church
Winter Park, FL 32792
Phone number - (407) 628-1692

Hope And Help Center Of Central Florida, Inc.


Location - 1935 Woodcrest Drive
Winter Park, Florida 32792
Phone number - (407) 645-2577

Jewish Family Services of Greater Orlando, [Link] - 2100 Lee Road


Winter Park, FL 32789
Dial - (407) 644-7593 for hours of the center and further information.

Patmos Chapel Seventh Day Adventist Church


Location of this church is 821 West Swoope Avenue. Call or stop by for perishable items, free food,
groceries, or meals.
Winter Park, Florida 32789
Phone number - (407) 629-7005

Winter Park Housing Authority - Tranquil Terrace


845 W. Swoope Avenue
Winter Park, Florida 32789
Phone number of not for profit is (407) 645-2869

If a food pantry is not located near you, dial (949) 653-2900 for additional locations or ask a center above
for a referral. Several other churches, charities, and non-profit food banks help low income Orange
County families meet their nutritional needs.
One Time Emergency Financial Assistance
Agency Phone Assistance
Catholic Charities of Central Florida 407-658-0999 Family Assistance, Basic Utilities Lights, Water, Food,
Rent, By Appointment Only
Christian Services - Orange County 407-425-2523 Daily Bread (Sun to Fri) 12:00 to 1:00 P.M. Rent,
Mortgage, Utilities, Food, Clothing and Bus Passes
Metro-Orlando Urban League 407-841-7654 Rent, Utilities, Counseling
Orange County Human Services 407-836-6500 Emergency Financial Assistance
Salvation Army - Orange County 407-423-8581 Women & Children Shelter, Rent, Utilities, Clothing, Food
Salvation Army - Seminole County 407-322-2642 Rent, Utilities, Food
Salvation Army - Osceola County 407-931-4343 Food , Rent, Utilities
Jewish Family Services 407-644-7593 Rent, Utilities, Food, Counseling: Marital; Individual.
American Red Cross - Orange County 407-894-4141 Natural Disaster Relief
American Red Cross - Seminole County 407-322-8200 Natural Disaster Relief
American Red Cross - Osceola County 407-847-2780 Natural Disaster Relief

LiHeap- Call ahead for appointment


Orange County Youth and Family Services Division
1718 Michigan Street
Orlando, Florida 32806
(407) 836-7429

United Way- 211


1940 Traylor Blvd
Orlando, Florida 32803
(407) 839-4357

Catholic Charities- Go through 211 to make appointment

Jewish Family Services -Go through 211 to make appointment

Love Orlando
(407) 514-4237

Community Food and Outreach


150 W. Michigan St.
Orlando, FL 32805
407-841-2144

* Christian Service Center- Can’t help if on a fixed income

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