Financial Assistance - Church of the Cross

Church of the Cross

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Financial Assistance

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

Join us for Worship on Sundays @ 10 am.
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and in-person!

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

How did you hear about Church of the Cross? *

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

Yes No

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

Amount needed *

Date needed *

Check payable to: *

No personal checks.

Nature of Request *

Rent Auto Insurance Utilities Food Clothing Gas Other

If Other, please explain here: *

Submit

Contact Us:
475 W Higgins Rd, Hoffman Estates, IL 60169
(847) 885-1199
Email : office@cotc-pcusa.org

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