WELS Christian Aid and Relief General Grant Request Form

1Church

2Background

3Contact

Church Information
A field marked with a red asterisk is required.
Select ministry field*
- Home mission
- Parish
- World mission
Mission district*
District*
Mission team*
World mission country*
Other country*
Church name*
Church address*
Street address City State/Province/Region Country
Pastor name*
E-mail*
Phone
Person(s) for Whom Aid is Requested
Name(s)*
• This information will remain confidential.
• Select (+) to add a new row.
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Background Information
Type of request*
- Disaster grant
- Personal financial grant
Briefly describe the background that led to this request.*
Briefly describe the financial need caused by the situation.*
Be specific. List expenses not covered by insurance or other forms of assistance.
List any other sources of assistance.*
Examples: insurance, help from family, etc.
Briefly describe the plans of the local congregation to assist the individual(s).*
Examples: door offering, GoFundMe appeal, gifts from members who excel in the grace of giving, funds from the church benevolence fund, etc.
Amount requested*
Upload additional material (receipts, estimates, etc.)
• File extensions allowed: jpg, gif, png, pdf, doc, docx, xls, xlsx
• Maximum file size allowed: 4MB
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, Max. file size: 4 MB, Max. files: 10.

Contact Information
Date*
MM slash DD slash YYYY
Request submitted by*
First name Last name
E-mail*
A confirmation e-mail will be sent to the e-mail provided.
Enter e-mail Confirm e-mail
Phone*
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
NOTE TO EU RESIDENTS:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

Questions?
Specific questions regarding this form should be addressed to Beth Zambo at elizabeth.zambo@wels.net or Pastor Daniel Sims at daniel.sims@wels.net.

WELS Help Desk: support@wels.net or 414-259-4357 | Privacy policy
Ref: WELS Christian Aid and Relief General Grant Request Form

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