Helping Hand Request Form - Virginia Beach Community Chapel

Phone number *

Names & Ages of individuals in household: *

Participation in Small Group: *

Regular

Occasional

No

Attending members of: *

VBCC

Another Church

Amount requested: *

Since money is not given to an individual, please explain your need and situation. If possible, include any invoices and/or details where payment needs to be made: *

(Include copies of invoices, if available.)

Invoice(s)

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

Likelihood that this need will be ongoing: *

Who else is aware of your current need? *

Are corrective actions needed to prevent reoccurrence? *