Benevolence Application

With a heart of compassion and a spirit of discernment, the leadership at Harvest Church desires to continually serve the membership of the church in the area of benevolence assistance when individual times of financial strain arise. Our overall desire is to glorify Christ by obeying His command for benevolence and the care of one another as illustrated in the Scripture (1 John 3:17-18; James 1:27; James 2:14-17). Undergirding this desire to obey Christ is the understanding that we also show obedience to Christ by demonstrating proper and good stewardship with the resources that He has entrusted to us as a church. To these ends, we have created a Benevolence Fund along with the drafting of certain criteria and process.
The application process at Harvest Church for assistance through the Benevolence Fund requires a spirit of humility and partnership between you and the church leadership. It is more than a simple request for assistance. It is our desire to not only help with immediate financial needs, but also to help biblically address any underlying causes that may have led to the immediate need. In the end, we desire to see transformation and freedom in the area of financial stewardship in all of the members of Harvest Church and this transformation may come through needed lifestyle change and encouragement from the church. Understanding that this process could effectively be seen as personal discipleship, it is essential that any guidelines or instructions given from the leadership in regards to your personal situation should be examined biblically and applied in a timely fashion. If you do not desire to place yourself under the authority and instruction of the church leadership in this area of your life, you should discontinue the process at this point.

The following application, along with the follow-up interview, gives the leadership the necessary information to be able to whole-heartedly extend benevolence while also ensuring obedience in the area of stewardship.

Complete honesty and openness is essential to walk forward in faith in God’s direction in this area.

Your name *

Last name

Email address *

Personal Information

Spouse name (enter N/A if not applicable) *

Phone number *

Phone type

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Birthday *

Marital status *

Household members

Housing *

Own

Rent

Lease

With Parents

Homeless

Other

Name and relationship of the closest relative not living with you: *

Primary campus *

Spiritual Information

Please explain your relationship with Jesus Christ: *

Relationship to Harvest Church: *

Member

Regular Attender

Guest

Other

When did you start attending Harvest Church? *

Do you tithe regularly and consistently as outlined in Scripture? *

Yes

Occupation/Vocational Information

Are you currently employed? *

Yes

Is your spouse employed? *

Yes

If we need help around the church, would you be willing to contribute? *

Yes

Have you applied for or are you currently receiving financial assistance from Worker’s Compensation, Social Security, Pension, Food Stamps, Housing, AFDC or other welfare? *

Yes

Lifestyle Information

Do you now or have you ever used any illegal drug in any form? *

Yes

Do you currently or have you ever partaken in the use of alcohol? *

Yes

Do you use tobacco in any form? *

Yes

Have you ever been arrested? *

Yes

How often do you and your family eat out each month? *

What is the estimated financial cost of eating out each month? *

What lifestyle changes could you currently make to reduce your monthly expenses? *

What could you do right now to increase your monthly income? *

Have you contacted family members or friends who could financially assist you? *

Yes

What have you done to resolve this deficit so that it doesn't occur again? *

Financial Information

How much money are you requesting? *

What is the purpose of the money if given? *

Have you ever filed bankruptcy? *

Yes

Have you borrowed money from anyone that you still need to repay? *

Yes

Have you previously received assistance from Harvest Church? *

Yes

Please list all past due debts (include the payee, the amount, and the due date): *

List all sources of income (please list net income): *

What is your total monthly household income? *

Regular Monthly Expenses

Please list your regular monthly expenses for each line item NOT including credit cards or loan payments.

Housing *

Overdue?

Auto Gas *

Overdue?

Auto Maintenance *

Overdue?

Utility (gas) *

Overdue?

Utility (electric) *

Overdue?

Utility (water) *

Overdue?

Insurance *

Overdue?

Insurance *

Overdue?

Phone *

Overdue?

Internet *

Overdue?

Food *

Overdue?

Child Care *

Overdue?

School *

Overdue?

Entertainment *

Overdue?

Medical (Prescription Drugs, Doctor Visits) *

Overdue?

Total overdue payment amount: *

Personal spending money amount? *

Tithe amount? *

Savings amount? *

Other monthly expenses: *

What are your total monthly expenses? *

Outstanding Loans + Credit Cards

COMPANY/PAYEE - BALANCE - PAYMENT DUE - DUE DATE (Please list all current outstanding loans and credit cards)

What is the total amount of debt you have? *

Current Cash Assets

(Please list all cash assets.)

Home *

Checking *

Savings *

IRA *

Investments *

Other assets or pending income *

What is the total amount of cash assets you have? *

Final Information

Anything else you'd like to share before we process your request?

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits. *

Electronic Signature *

Agreement and Certification

The application must be filled out completely to be considered. Submission of the application does not constitute approval. Sign below if you understand the Harvest Church benevolence process and agree to it.
I (we) agree to submit to the leadership authority of Harvest Church in examining this request for assistance. I authorize the designated church leaders to confidentially discuss this matter with only those people directly involved in this issue. I agree to fully disclose all pertinent facts and be absolutely honest in my discussions. I understand that credit counseling and/or courses and lifestyle changes may be required as a condition of any extension of assistance. I understand that submission of this application does not guarantee assistance. I (we) certify that these statements are true and complete to the best of my (our) knowledge.

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Harvest Church
info@harvestindy.org
317-900-7200