Community Care Fund Application

The Community Care Fund is designed to provide support to our local community during times of need. However, it's important to note that the assistance provided through the fund is intended as a one-time offer and is not intended for multiple or ongoing use. We encourage individuals to use the assistance responsibly and to reach out to appropriate resources for ongoing support if needed. If your need is urgent, we highly suggest seeking alternative resources for financial help.

Your name *

Email address *

Address *

Phone number *

Birthday *

How did you hear about the Community Care Fund?

Have you sought assistance from Peninsula Covenant Church before? *

Yes

Do you worship at Peninsula Covenant Church or part of the Community Center, Afterschool, or Preschool? *

Being part of PCC is NOT a requirement to get assistance.

Yes

What is your average monthly income from all sources (work, assistance, family help, other)? *

What are your average monthly expenses (rent, food, utilities, etc)? *

Are you and your references able to communicate in English or do you require translation? *

Yes, I am comfortable communicating in English

No, I prefer to communicating in Spanish.

My references are comfortable communicating in English

My references prefer communicating in Spanish

Other