Financial Assistance Application Form

Financial Assistance Application Form

We are grateful for the opportunity to consider providing you and your loved one with financial assistance in support of their care. At Rainbow Valley Resource Network, we are committed to supporting the spiritual growth and enrichment of individuals who are working through the labels of developmental disabilities and who have chosen Christian Science as their way of life. We believe that God’s love is universal, and no one should feel outside of His care.
We are pleased to offer financial assistance for the following types of support:
- Supplying subscriptions to the Christian Science Quarterly, Full Text Bible Lessons, myBibleLesson, and the Christian Science Sentinel and Journal
- Assisting with Christian Science practitioner and nursing bills
- Arranging contact visits with volunteers to drive constituents to church services and lectures
- Assisting with respite and enrichment activities
If assistance is granted we ask recipients to complete an Acknowledgement of Funds form, which includes the opportunity to share how the assistance blessed the individual.

IMPORTANT: If you are applying for tuition assistance for our 2021 100 Elk Family Enrichment Program or for our Loved One Gatherings (Session 2) Program, please read the following:

RVRN provides up to 100% financial aid for all of our enrichment programs. The Campership Fund for Christian Scientists has generously offered to underwrite a portion of the tuition fees. By completing this RVRN financial assistance application for this year's program, you are agreeing to share your contact information with The Campership Fund.

Please click here to learn more about The Campership Fund.

Requester Information

Please share your information below.
Your name *

First Name Last Name
Your email *
example@example.com
Your address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your phone number *

Area Code Phone Number

Information for the individual needing assistance:
What is the name of the individual needing financial assistance? *

First Name Last Name
What is their address (if different from the requester)?

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Financial Assistance Request
The following is the Rainbow Valley Resource Network (RVRN) Mission Statement: "The purpose of Rainbow Valley Resource Network is to advocate for and support the spiritual growth and enrichment of individuals who are working through the labels of developmental disabilities and who have chosen Christian Science as their way of life." Does this statement describe the individual for whom you are requesting assistance? *
Based on the type of activities RVRN supports as described at the top of this form, please share the intended use of the funds you are requesting and how the activity will support the spiritual growth and/or further the individual’s understanding of Christian Science. *
What is the estimated total cost of the activity/service? *
What portion of the overall costs are you able to contribute? *
What is the amount you are requesting from RVRN? *
Date funds are needed *

Month Day Year
Date
Have you sought other sources of assistance? If so, which? *
Is there any other information you would like us to consider? *
Who or how were you referred to RVRN? *

Should be Empty:

Financial Assistance Application Form

Requester Information

Information for the individual needing assistance:

Financial Assistance Request