Benevolence Application

• Nexus Church regular attendees, and people not associated with Nexus Church may apply for financial help through our Benevolence Ministry. Regular attendees’ requests will be given priority for help; however, whenever possible the needs of people not associated with Nexus Church will be considered if funds are available.

• Although it is our sincere desire to supply financial help to all who ask, we are unable to consider any requests except those that are short-term in nature. We are not able to provide long-term assistance. Also, we do not help with childcare, long-term or chronic medical, credit card, taxes, or legal expenses.

• Applications need a completed Financial Information Worksheet (link in confirmation email), copies of bills, invoices, eviction notices and other documentation that will help in accurately understanding your financial situation emailed to Candace King at hello@nexuskc.com. If financial help is asked, bills must be in the individuals name requesting the help. If funds are approved and available, check(s) will be made payable only to the service provider(s) to whom bill(s) are owed; (e.g., mortgage company, utility provider, etc.).

• Once Nexus Church has received an application it will be reviewed, and information verified.

• All information provided on the Benevolence application, to Nexus Church will be kept as private as possible, so please be open and honest in responding to questions. It is likely that during the application process, your information may be reviewed by members of our church staff or Pastors. We are not here to judge anyone, but rather to supply compassionate assistance according to our guidelines and available resources in time of difficulty.

• The Benevolence process may take up to two weeks. Failure to send required documents could delay the process. Filling out this application does not guarantee that monetary help will be provided.

• You will be notified by mail, email, or phone about the status of your application.

• If you are assisted by Benevolence please consider a financial contribution when you are economically capable. This ensures that others can be helped when there need arises.

Your name *

Email address *

Marital status *

How did you hear about Nexus Church? *

Have you or anyone else in your household been assisted by Nexus Church? *

Are you a regular attendee or visitor of Nexus Church? *

Is there anyone at Nexus Church who knows your situation? If yes, who? *

May we contact them? If so, please provide contact information.

Do you have a church home other than Nexus Church? If yes, where? *

Do you tithe? This is giving back to God 10% of your earnings on a consistent basis. *

What is your need today and what specific help are you requesting? *

Include amounts needed help with.

What is the crisis or situation that has caused you to ask for help? *

If assisted by Nexus Church, how will you pay for next month's rent/utilities, etc? *

Have you filed Bankruptcy before? Please provide details and circumstances. *

Have you been assisted by any other church/agency/organization? *

If yes, provide name & assistance received below.

Household members

List all persons living at the same address as you.

Employment History: List your current and past employment history. *

Please include the following details: Place of Employment, Full & Part-time, Dates of Employment, Duties and Reason for Leaving (if past).

Spouse/Roommate's Employment History: List your current and past employment history.

Please include the following details: Place of Employment, Full & Part-time, Dates of Employment, Duties and Reason for Leaving (if past).

Release Information - When you submit this form you are agreeing to the following: *

I hereby authorize the release of information to Nexus Church to receive the help I am requesting. I further certify the information I have said is true and correct and that all income is reported. I understand Nexus Church may verify the information of this application and that deliberate misrepresentation of information may subject me to denial of assistance.

I give permission to Nexus Church to discuss my case with other agencies, businesses, churches, attorneys, individuals, and any other deemed necessary to verify application information &/or find additional sources of assistance. I understand that all information will remain as private as possible within these entities. I have read, understood, and agree to the policies above regarding the Release of Information.

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