Benevolence
Hello, thank you for contacting BridgePoint Bible Church for assistance. Please fill out the form below so that we can help you to the best of our abilities.
General
First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Name of Children and Ages
Church Involvement
Are you a BridgePoint Church Member
Yes
No
If not a member, how are you affiliated with BridgePoint?
Friend of a Member
Related to a Member
Found you Online
Someone recommended you
I live Nearby
Other
If not BridgePoint, tell us what church body you are connected to and the pastor/pastors you know there
Assistance Needed
Has BridgePoint previously assisted you?
Yes
No
If yes, please indicate when we have helped and with what.
Have you received any assistance from any other churches or outside organizations?
Yes
No
If Yes, please indicate who helped you and how.
Please tell us the circumstance with which you are in need of help.
What circumstances do you hope to change that will make you able to live without more assistance?
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