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Fervent Church is passionate about helping those in need.

Fervent Church is passionate about helping those in need.

Hi there, please fill out and submit this form.

9Questions

1
Full Name* This field is required
First Name
Last Name
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2
Phone Number* This field is required
Area Code
Phone Number
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3
Email* This field is required
example@example.com
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4
Are you a member of Fervent Church* This field is required
YESNO
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5
What is the purpose of your inquiry?* This field is requiredWe are currently not accepting any clothing donations.
I need help
I am looking to donate food
I am looking to nominate a family in need for the holidays.
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6
What items are you looking to donate or receive?* This field is requiredi.e. - clothes, shoes, food, etc. / PLEASE NOTE: WE ARE CURRENTLY NOT ACCEPTING CLOTHES DONATIONS AT THIS TIME
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7
Please provide specific information regarding the family you are nominating.* This field is required
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8
What's your availability to meet with someone at our facilities?* This field is required
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9
Please answer the following questions:* This field is requiredFinancial Survey
How long have you been having difficulties?
What caused your current situation?
Who else is affected by your current situation (family, roommate, etc.)
Are you willing to work with a financial coach if necessary?
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