Pastoral/Advisor Application on Behalf of Widow
Your Information
A bit about you...
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Congregation & Affiliation
Widow's Information
The widow you are representing...
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How long has this widow been a part if your community/congregation?
How long has this woman been a widow?
In a few short sentences tell us a bit about this widow's history from your perspective. (Include how she became a widow and some of her journey from then to now.)
How would you describe this widow's financial state?
In Need
Making it Work
Adequately Taken Care Of
To your knowledge, does this widow receive any monthly financial aid?
If this widow is receiving financial aid, from whom is it coming? (select all that apply)
The Church
Family
Friends
Other
N/A
How would you describe the involvement/emotional support of this widow's immediate & extended family?
None are involved and supportive
Some are a little involved and kinda supportive
Some are very involved and supportive
All are very involved and supportive
In your words, how would you describe this widow's spiritual wellbeing?
Family Member/Friend Referral
Please give us the info for either a close friend of a supportive family member of this widow so we can send an application to a second party.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
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