Are you filling this form out as a student or a parent? *
Phone number *
Phone type Mobile Home Work Other
Please list name and current grade of all students applying for financial assistance *
Has your family received financial assistance from Rivers Crossing Church in the past? If so, please list details of that assistance: *
Annual family income check one *
$0-12,500
$12,500-25,000
$25,000-37,500
$37,500-50,000
$50,000-62,500
$62,500-75,000
$75,000-87,500
$87,500-100,000
Over $100,000
Do you financially support the ministry of Rivers Crossing? *
How often does your family attend Rivers Crossing Church? *
Select… weekly twice a month once a month never
Where do you, the parent, currently serve? *
What special/unique event or circumstances have resulted in your need for financial assistance? *
Submit
