Benevolence Request

Please Click Here to download the updated Benevolence Assistance Policy.

1. Eligibility Verification

Have you been an active member of Harvest Time Bible Church for at least one year?

Have you consistently served in an HTBC ministry for at least the past six months?

Have you received benevolence assistance from HTBC within the past six months?

If your request is approved, are you willing to attend financial literacy classes?

Based on your answers, you do not currently meet the initial requirements to continue with the online application. Please contact the church office with any questions or to discuss your circumstances.

Please note that Benevolence Request are not handled in the office, but by the HTBC Board.

2. Applicant Information

Today's Date

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Social Security Number

3. Membership & Service Information

Are you an active member in good standing?

Date Membership was Completed

Ministry in which you serve

Ministry Leader's Name

Have you served consistently for at least 6 months?

Approximate start date of ministry service:

4. Household Information

Marital Status

Number of Adults in Household

Number of Children in Household

5. Assistance Request Details

Other

Name of company/vendor/service provider:

Account Number (if applicable):

Amount Due (total bill):

Amount Requested from Church:

Due Date

Brief explanation of need/Hardship

6. Prior Assistance

Have you received benevolence assistance from the church in the last 6 months?

Date Received

Type/amount of assistance received:

7. Documentation Checklist

Please send the following documentation to church@harvesttimebiblechurch.org

Current bill/invoice/statement

Photo ID

Payment instructions / remittance stub (if applicable)