Family Info
Employment Info
How long have you worked there?
How long did you work there?
Financial Info
What is the cause of your current financial hardship is required.
What specifically do you need assistance in paying?
Signature
By signing your name electronically, you are agreeing that your electronic signature is the legal equivalent of your manual signature, and you certify that the statements made above and on any attachments are true and complete to the best of your knowledge. You give Barefoot Church permission to make inquires as needed to determine if we are able to assist you.
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