CHURCH OF THE CROSS
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Financial Assistance Request Form
Please note that we are only assisting if you live in Hoffman Estates or Schaumburg.
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
How did you hear about Church of the Cross?
*
Employed?
*
Yes
No
Amount needed
*
Date needed
*
Check payable to:
*
Nature of Request
*
Rent
Auto Insurance
Utilities
Food
Clothing
Gas
Other
If Other, please explain here:
*
Submit
Home
About Us
Are you Searching?
Sunday Schedule
Update from Session
Annual Reports
Contact Us
Staff & Ministry Leaders
Media
Sermons & Bulletins
Facebook, Instagram & Newsletter
Photos
Revised Daily Lectionary
Sign-Ups & Events
Donate
Financial Assistance
