Financial Assistance Form

Church of the Cross

Home
Contact Us
About Us
Sign-Ups & Events
Community Clothes Closet
Donate Online
Subscribe to our Newsletter
Assistance

Home
Contact Us
About Us
Sign-Ups & Events
Community Clothes Closet
Donate Online
Subscribe to our Newsletter
Assistance

(847) 885 1199

office@cotc-pcusa.org475 W Higgins Rd, Hoffman Estates, Il 60196

Financial Assistance Requests
Please note that we are only assisting Hoffman Estates and Schaumburg residents.

* Indicates required field

Name *

First

Last

Phone Number *

Email Address *

Please attach photo of your Drivers License *

Max file size: 20MB

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? *

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

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

Details for financial assistance from Schaumburg Township can be reached via this link: https://www.schaumburgtownship.org/departments/general-assistance-food-pantry/emergency-assistance/

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

Yes No

Do you need assistance with Rent *

Yes No

Do you receive Section 8 Housing Vouchers or any other assistance with your housing *

Yes No

Do you need assistance with paying for the following: *

Utility bills Auto Insurance bill Other

Please provide the Bill or Statement that you need assistance with. We will pay the provider directly. *

Max file size: 20MB

Amount needed (maximum of $200) *

Date needed *

Submit

Home
Contact Us
About Us
Sign-Ups & Events
Community Clothes Closet
Donate Online
Subscribe to our Newsletter
Assistance