FinancialAssistance_556

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As an active part of CedarCreek, you know that our first priority is to your spiritual condition, followed by the physical well-being of you and your family. That’s why we want to insure we have the most updated information and the opportunity to continue to connect with you personally. To accomplish this, please complete the following:


Work Entry

ATTENDANCE INFORMATION


WORK EXPERIENCE

Please list all employment within the last three years beginning with most current:


EDUCATION INFORMATION


MONTHLY INCOME

What is your combined household income? Please include alimony, child support, and/or government assistance (if applicable). Please list after tax values:


TOTAL INCOME

Please add all values above together.


MONTHLY EXPENSES

Please list your monthly expenses:


TOTAL EXPENSES

Please add all values above together.


ASSISTANCE REQUEST


Thank you for taking the time to fill out this application completely. Please allow us seven to ten days to review it, and then we will contact you to discuss your request. We will prayerfully evaluate your request for assistance, although we cannot guarantee it, due to the large volume of requests we receive.