VCC Financial Assistance Application

Our goal is to show Christian compassion, and to provide help that has a long-term benefit to you so that you are not facing financial difficulties in the future. Please fill out completely and include the requested attachments.

Phone:
Spouse/Family:
Phone:
Children living with you:
Request: We do not make direct payments to you. For your request, attach a copy of the bill or rental/lease agreement. It must be a current bill or rental/lease agreement in your name.