Benevolence Request Form

This form must be filled out completely for all financial requests. All financial requests will be prayerfully considered and you will be notified of decisions by phone. Incomplete forms will not be processed.
Information provided by you and references will be shared with Pastors and the Benevolence Director as needed.

Please be aware that Bethel receives many requests and is not able to give extended financial help. At this time, we are only able to help ensure you and your family do not go hungry while we pray and petition for God’s long-term provision and work with you to create a budget. The benevolence fund is not designed to pay utility bills, rent, mortgage or car payments. We also request that benevolence “amounts” provided by Bethel be kept in confidence.


























If married.














If married.


If married.


If married.








In case you attend a Life Group.




In case you have answered "Yes" on the previous question.








List with date, any financial help provided by Bethel in the past.




In case you have answered "Yes" on the previous question.
















e.g. Alimony, Child Support, other.






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