Victory Family Church Assistance Application

Victory Family Church Assistance Application

Located In: Norman, Newcastle, Chickasha & Shawnee OK. This is NOT Victory Church in OKC or Victory Church Tulsa
ABOUT YOU
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Gender *

Male Female
Birthdate *

Month Day Year
Date
Do you have kids? *

Yes No
Are you a single-parent? *

Yes No
List your kids names and ages *
Are you married?

Yes No
Spouse Name: *
Do you attend Victory Family Church regularly? *

YES NO
Please briefly list why you need assistance: *
VFC INVOLVEMENT
Select the VFC Campus you attend *
Check ALL that apply to you: *

I attend VFC on Sundays I volunteer at VFC I am in a small group at VFC I give to VFC financially
Has VFC given you financial assistance in the past? *

Yes No
What did VFC do to assist you? *
Are you working? *

Yes No
Where do you work and what do you do? *
YOUR NEEDS
Select all that apply

Utilities (Ex: ONG, Water, Electric) Partial Rent / Morgtage Other
Please describe why you need assistance: *
What are your immediate needs? List highest priority first: *
Have you been anywhere else for assistance? If so what did they do for you and the date you went there? *
MONTHLY EXPENSES ANALYSIS
What is your total monthly income?

ABOUT YOU