Community Baptist Church of Englewood 224 First Street Englewood, NJ 07631 Phone: 201-568-6369 . Fax: 201-983.6702 . www.cbcofe.org Reverend Dr. Lester W. Taylor, Jr. ~ Senior Pastor

The Community Baptist Church of Englewood Benevolent Guidelines

Please read each statement carefully and sign before completing and submitting this application.

1. Community Baptist Church of Englewood ("Community Baptist Church" or "CBC") offers various forms of assistance primarily to its members. Membership at CBC is defined as one having completed New Members Orientation and received the Right Hand of Fellowship. Those who have done so will have in their possession a certificate of completion, a certificate of membership and a membership identification number used when making financial contributions. (If you have questions regarding your membership, please contact the church office. The benevolent process is not the place to dispute our definition of church membership Non-members requesting assistance should first appeal to their home church or local agencies.

2. Community Baptist Church is not obligated to support lifestyles or decisions that are not biblical. Also, any and all support granted is designed to provide temporary assistance to help bridge the gap and is not committed to become a source of monthly or continual support. If requesting assistance, the applicant must participate in any counseling or mentoring as requested by the Benevolent Committee. 

3. If you have received assistance in the past three years, it is expected that you follow through on all recommendations from the Benevolent Committee. Please note that the responsibility to follow through on your commitments rests solely on you, the applicant. Also, if you have received assistance in the past three years you are not eligible to receive assistance at this time.

4.  The Benevolent Committee reserves the right to decline assistance to any applicant.

I have read and understand each of the above qualifications. I understand that in submitting this application for assistance I am willing to not only allow the Community Baptist Church to assist me in this short-term resolution, and contact the appropriate counterparties to facilitate assistance, and I also agree to follow through with long term guidance to bring ultimate resolution to my present situation.

Benevolent Ministry of Community Baptist Church of Englewood

The Distribution of Benevolent Funds

1. If you have applied for assistance within the past three years you are NOT eligible to receive assistance until after the third year is over.

2. Upon completion of application please email application and any documentation to benevolent@cbcofe.org or fax 201.983.6702, Attn: Benevolent Committee. All information provided in this application will be kept in strict confidence. Information will only be shared upon a need to know basis and with the consent of the applicant.

3. A genuine need must exist in order to receive benevolence assistance. Therefore, it is imperative that the application is completely filled out and all information is accurate and current. Any inaccurate information reported, or incomplete applications (ie. Failure to provide requested documentation) will result in an automatic denial of assistance.

4. The applicant will be required to conduct a telephone interview with the Benevolent Representative to discuss the information presented on the application.

5. The Benevolence assistance covers: Rent Arrears (exclude late and/or court fees), Rental Fees, Utilities (PSEG & Suez Water), and limited medical prescriptions.

6. The Benevolence assistance does not cover: Security Deposit, Storage Fees, Funeral Cost, Tuition, Car Insurance/Payments, Give Cash, Loans to an applicant, and Credit Card Payments.

7. If the application is approved, all funds will be released in the form of a check made payable directly to the part (ie. ~ PSEG No check will be made payable to the applicant.

8. Please be advised that completed application will be processed on the first and third Mondays of every month after submission is received by Benevolent Committee.

9. NO CASH will ever be distributed by the Benevolent Ministry to individuals or to entities.

10. The CBC Benevolent Ministry is not obligated to respond to last minute requests. While unforeseen circumstances arise, a lack of planning on the part of the applicant does not constitute an emergency on our part.

Acknowledgment: I have read the above regarding the distribution of benevolent funds and I understand my obligation to be completely truthful and compliant with the process established by the CBC Benevolent Ministry.

Benevolent Ministry of Community Baptist Church of Englewood

(This is a confidential application for review by the Benevolent Committee only)

Marital Status/Family Information

Please provide the names and ages of all occupants of the home: Age

Benevolent Ministry of Community Baptist Church of Englewood

What events prompted your need for assistance?

What other resources have you contacted?

Have you applied for or received assistance from CBC in the past 3 years?

If yes, when? If you have applied for assistance within the past 3 years you are not eligible to receive assistance.

Benevolent Ministry of Community Baptist Church of Englewood

Other Sources of Income for the Household

Do you have any other sources of financial support?YesNo

Sources of financial support (If yes, check all that apply):

Benevolent Ministry of Community Baptist Church of Englewood

For Internal Use by the CBC Benevolent Committee

Attend Community Baptist Church

Meet with a counselor regarding:

Benevolent Ministry of Community Baptist Church of Englewood