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Benevolence Policy & Request Form

Benevolence Policy
The benevolence fund of Riverside Church is a fund established to bless people who are in a financially hard
place. There is a benevolence oversight department and accounting department that helps determine the
distribution of these funds. It is our desire to administer these funds to the glory of God. We view this fund as a
resource belonging to God (l Chronicles 29:11-12), and we will use loving discernment to distribute the funds
wisely (Acts 6.1-6). In administering the funds it has been determined that the distribution of funds to church
members should be treated separately from non-members.

Recipients:
In order of priority, recipients of funds distributed from the benevolence fund are:
1. Church Members
2. Regular Attenders
3. Members of the local community

Financial Foundations Course Requirement:
To better serve those in need, Riverside Church requires individuals requesting or receiving benevolence to either complete or be actively enrolled in our Financial Foundations Class.This free course provides practical, hands-on guidance in personal finance, stewardship, and budgeting—all designed to help you build lasting financial stability. To register, visit: https://www.riversidechurchtx.com/financialfoundations

Criteria:
The stated purpose of the benevolence fund is to meet people's basic needs. Normally, these needs are
defined as follows:
● Lodging
● Food
● Clothing
● Medical treatment
● Transportation to & from work

Procedure for Disbursement:
1. A benevolence request form must be filled out by the individual requesting help.
2. Once filled out, the application is returned to the church office representative.
3. The benevolence oversight department reviews the request and comes to a decision.
4. The person making the request is informed of the decision by a church office representative.
5. Checks are written and disbursed, As much as possible, checks from the benevolence fund will be
payable to vendors rather than to the individual requesting assistance.

Benevolence Limitations:
● The benevolence fund operates on a first come, first serve basis as the fund will fluctuate due to budget
and requests.
● There is no guarantee that the requested amount will be able to be covered.
● The benevolence fund will only be disbursed to an individual/family at $300 max per request.
● The annual cap for an individual/family to receive in total is $1,000 per year.

Your name *

Last name

Email address *

Benevolence Fund-Member/Non-Member Request

To be completely filled out by the member/non-member requesting help:

Today's Date: *

Full Legal Name *

Are you a member of Riverside Church? *

Yes

No

How long have you been attending Riverside Church? *

Have you completed Growth Track? *

Yes

No

Have you completed or registered for our Financial Foundations Course? (This is required in order to receive benevolence, as outlined in our policy above.) *

Yes

No

Address *

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Monthly Expenses (please be as specific as possible)

Rent/Mortgage: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Auto: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Gasoline: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Personal Loan *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Electric: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Water: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Phone: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Groceries: *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Insurance(s): *

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Other payments:

(Please include the monthly amount, who this amount is owed to, and the remaining amount owed)

Apartment/Mortgage Company Information:

Name of Apartment/Mortgage Company: *

Contact Name: *

Phone Number: *

Mailing Address: *

Employer name and Phone #: *

Total Monthly Income for everyone in your household: *

If unemployed, list the last 3 places that you worked or applied, and dates of employment:

Is anyone in your household unemployed due to disability?: *

Yes

No

Is anyone in your household receiving disability benefits? *

Yes

No

Name, relationship to you, and the ages of everyone living in your household: *

Amount Requested $: *

(Include purpose for request)

If this is a bill, what is the due date?: *

(Please provide a copy of the bill)

What is the crisis or situation that has caused you to ask for assistance?: *

If assisted by Riverside Church, how will you pay for next month’s expenses?: *

Have you, or anyone in your household, ever been helped by Riverside Church? If yes, when?: *

Have you contacted any Social Services or other Organizations? *

Yes

No

What is your payment record with the local utility company? *

Always on time

Sometimes late

Usually late

Can the police department, utility companies and local ministries verify that the information in this application is correct?: *

Yes

No

What is the name of your church contact? (If relevant) *

Today's Date: *

Signature: (By signing you verify that you have read our Benevolence Policy and that the information provided is accurate and true to the best of your knowledge) *

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Riverside Church
info@riversidechurchtx.com
3614335421

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