James Island Christian Church - Benevolence Questionnaire

Benevolence Questionnaire

Please fill out and submit this form. This will be followed up with a personal interview.

download/print Financial worksheet

First Name

Last Name

Phone Number (Cell)

Address

Country

City

State

Zip/Postal Code

Are you a Member of JICC?
Member of JICC
Non-Member, but regular attendee

How Long have you been a member?

How long have you been attending?

If you have been attending JICC less than a year, did you attend a church previously, and were you a member of that church?
YES
NO

Name of Church and Pastor's name:

Current Employer & Monthly Income

Prior Employer & Dates Employed

Spouse's Employer & Monthly Income

Spouse's Prior Employer & Dates Employed

Please describe the nature of your need right now and how we can specifically serve you?

Please described any life circumstance (illness, job loss, family separations, etc.) that have made this time particularly difficult for you?

Do you have any people within the church that are providing you encouragement and counsel right now? (Friends that encourage you, more mature believers who are giving you counsel.) Please list them.

Submit

** Information submitted will be kept private and confidential.

Benevolence Questionnaire

Please fill out and submit this form. This will be followed up with a personal interview.

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