Telephone us, 773-0777.

Or answer these questions.

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We cannot promise help, but once we know you,  and have the details, we can then consider paying a bill, or part of one bill. To actually write a check to your utility or other creditor depends on our funds from donations, and on how many others also have requested aid.
 

If you are seeking aid. . . Please answer these questions  

YOU MAY COPY AND PASTE THE FOLLOWING QUESTIONS INTO AN E-MAIL FORM, mailto:director@inhisname.org, 

THEN ANSWER THEM.)

ABOUT YOU
Your full name, and social security number and date of your birth
Telephone number, yours, or a contact phone number

Mailing address, City, State, zip code
 

WHAT ARE YOU ASKING HELP ON?

Who is it owed to? (the utility, rental agent or mortgage company) 

Give name and complete mailing address of the company.  Their telephone number.

What is the amount owed?

What is the amount owed?

$ _____.

The account number _____

Whose name is on the bill, yours or . . .?

YOUR BUDGET

What is your monthly income?

List your monthly household expenses: house payment, average utilities, food, insurance, car payment, and any other monthly payments.

FAMILY MEMBERS 

Total adults in your household, and their relationship.

Do you have children?  If so, what are their ages. 

How are they doing?  Any health issue or emotional problems.

REFERENCES (2)
A pastor's name and telephone number, OR
A friend's name and telephone, and
Your closest relative and his or her telephone.

SPIRITUAL (FAITH) ISSUES

Are you a praying person?
Is there someone you pray with, or talk about spiritual issues with?
Do you regularly attend religious services?
Do you have any questions about how to get closer to God or how to be in his will?

OPTIONAL - Do you believe God allows bad things to happen?   Explain.

NOTE - Your answers about spiritual issues are just to help us know you.  We will consider helping regardless of your knowledge and commitment to God.

We want to communicate with you; your answers to these questions are the beginning.  We are praying that God will begin working in your behalf -- opening doors, giving you a new idea, or direction. May he comfort you and give you his peace.