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  • Application for Assistance

    Updated October 2025

  • Please fill out this application according to your needs. You must complete the budget portion to the best of your ability and knowledge. We cannot process any applications without the budget portion completed and two months of bank statements. After submitting the form, our team will review your application and contact you to set up a meeting. Please note, this process can take up to two weeks.

    Cornerstone is only able to help individuals and families living in Perry County, Pennsylvania once per 365 days. If you apply from outside of Perry County, PA you will not receive a reply to your request. If you do not complete the budget portion and submit two months of bank statements you will not receive a reply to your request.

    If you need any assistance with the application or have any questions, please call the office at 717-834-4641.

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  • Benevolence Team

    Our team consists of volunteers who schedule appointments around their jobs and family schedules.

  • Disclaimer and Signature

    I hereby authorize the release of information to Cornerstone Christian Church to receive assistance I am requesting. I further certify the information I have provided is true and correct and that all income has been reported. I understand that Cornerstone may verify the information on the application and any deliberate misrepresentation of information will be subject to denial of assistance and services. I authorize Cornerstone to discuss my case with other agencies, businesses, churches, attorneys, individuals or others deemed necessary to verify the accuracy of information and/or identify additional sources of assistance. I understand that all information will remain as confidential as possible within these entities. I understand that Cornerstone may search public records to verify information. I have read, understand and agree to the policies above regarding the Release of Information.

  • Monthly Budget Form

    Please fill out the following budget assessment to the best of your abilities. By providing this information, it gives us more information on the best course of assistance to help meet your need. You will also need to provide 2 months worth of bank statements when you meet with one of our team members.
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