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St. John's Place of Grace

Hardship Assistance Application


We are here to help. Please complete this form as thoroughly as possible so we can best serve your family's needs. All information provided is kept confidential.

Home address
Type of assistance requested
Do you regularly attend Sunday Services at St. John's Place of Grace?
Yes, I regularly attend
Sometimes / Occasionally
No, I do not currently attend
I am new to the congregation

Supporting Documents

Please upload any relevant supporting documents to help us process your request. Examples include:

  • Rent or Lease Agreement

  • Past Due Utility Notices

  • Eviction or Disconnection Notices

  • Proof of Income or Unemployment

  • Any other relevant documentation

Accepted file types: images and documents (PDF, Word, etc.). You may upload up to 10 files.

Please upload images or documents only (e.g., PDF, Word, JPG, PNG). Up to 10 files may be uploaded.

Acknowledgment Statement

By submitting this application, I acknowledge and agree to the following:

  • The information provided in this application is true, accurate, and complete to the best of my knowledge.

  • I understand that providing false or misleading information may result in disqualification from receiving assistance.

  • I understand that hardship assistance is subject to availability of funds and is not guaranteed.

  • I consent to St. John's Place of Grace using the information provided solely for the purpose of evaluating and processing this assistance request.

  • I understand that all information submitted will be kept confidential and used only by authorized staff.

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