Financial Assistance

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Home
About Us
Sermons & Bulletins
Sign-Ups & Events
Online Pledge Card
Donate Online
Revised Daily Lectionary
Financial Assistance
Subscribe to our Newsletter

Financial Assistance Request Form

Please note that we are only assisting Hoffman Estates and Schaumburg residents.
Please fill out the form and submit. If you have any questions regarding the form, please contact the office @ office@cotc-pcusa.org or leave a message @ (847) 885-1199

* Indicates required field

Name *

First

Last

Phone Number *

Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

** Only Hoffman Estates or Schaumburg residence

Current Housing *

Own House Rent Homeless

Employed? *

Yes No

Have you applied at the Schaumburg/Hoffman Estates Township for assistance? *

Yes No

How did you hear about Church of the Cross? *

Nature of Request *

Rent Auto Insurance Utilities Food Clothing Gas Other

Where did you apply for Financial Assistance before filling out this form? *

Amount needed *

Date needed *

Check payable to: *

No personal checks.

Please provide the Bill or Statement that you need assistance with *

Max file size: 20MB

Please explain why you are in need of Financial Assistance today *

Submit

Member of Presbyterian Church (U.S.A.)

Location
475 W Higgins Rd, Hoffman Estates, Il 60196

Contact Us

(847) 885 1199

office@cotc-pcusa.org

Weekly Newsletter Subscription

* Indicates required field

Email *

Subscribe to Weekly Newsletter

Home
About Us
Sermons & Bulletins
Sign-Ups & Events
Online Pledge Card
Donate Online
Revised Daily Lectionary
Financial Assistance
Subscribe to our Newsletter

Member of Presbyterian Church (U.S.A.)

Location475 W Higgins Rd, Hoffman Estates, Il 60196

Contact Us

Weekly Newsletter Subscription

Location
475 W Higgins Rd, Hoffman Estates, Il 60196