Benevolent Form

We understand that anyone can experience financial difficulty at any time in their life. Please know, that there is no shame in making this request. We as a church want to come alongside of you and offer support during this challenging time.

Please know that this process takes time and if you have an immediate and urgent need, we encourage you to seek help from other organizations that specialize in this. Chapel Pointe predominantly helps those involved with us, so participation in Chapel Pointe is a vital part of this process. If you have not attended one of our services, we would love to have you, but most likely, you will not receive help from us, as this fund is created by our people to aid our people.

We are asking you to fill out this form with as much transparency as you can so we can fully understand your needs. After completion of this form, your request will be reviewed by Chapel Pointe's Benevolent Committee, and given to one of our stewardship coaches who will be contacting you in the next couple of weeks. They will go over your budget and finances with you. From this interaction they will make any financial requests and submit these needs to the Benevolent Committee.

Benevolence will be given based on need, previous support received, and connection to the church. Chapel Pointe does not offer reimbursement for payments made in the past.

While we cannot guarantee each person will receive the requested amount, our goal is to remove any financial barriers in order for you to receive the care needed so that you can be healthy in all areas of your life.

Your name *

Email address *

Phone number *

Address *

Are you willing to meet with one of our Stewardship Coaches? *

If you do not check this box, you are refusing further help and you can stop filling out this form.

Where Is Your Primary Campus? *

Only check this box if you are seeking financial help for Counseling

Counseling

Have you received financial help from Chapel Pointe before? *

Yes

Describe your recent financial hardships so that we can better understand your situation *

Describe your involvement at Chapel Pointe. *

Example: Member of CP, Attend Regularly, Attend with a Friend, referred by someone who attends CP (Include their name), etc.

Monthly Income *

To meet Benevolent requirements, one of two options must be fulfilled and submitted:

A monthly budget. Please go to Ramsey Solutions, fill out the monthly budget form, and submit it as a file for us to review.
A bank statement from your most recent month of income and expenses.

No file currently selected

Choose 1 file. Maximum file size 10 MB.

How much are you Requesting *

Agreement *

IMPORTANT*
If you are choosing to ask CP for financial assistance, you are releasing this information (ROI) and agreeing to allow our Benevolent Team, Financial Office, and Executive Leadership Team to view this and be in contact with you and ask further questions to provide clarity. This will assure you get the best possible care and support both during and after your financial difficulty.

Please type your name in the space below acknowledging that you have carefully read and agree to the above statement.