Benevolence Fund Request Form - Schoharie Reformed Church

1. Your Name *

2. Person or Organization for whom you are requesting funds *

3. Your Phone Number *

4. Amount Requesting *

5. For what? Please explain the need and how funds will be used. *

6. Who will receive the funds? (Preference given to direct service providers, we do not give out cash) *

7. When is funding needed? *

8. Who else have you asked for funding from? What is the status?

9. Enter Your Email Address: *