Children (Names, ages, living situation)
Relationship to Redeemer
Attend another church
Name of other church attended
What is the need that you're hoping Redeemer can help with?
Describe the circumstances that have created this need
What steps have you taken to remedy this situation?
Have you had problems with drugs or alcohol abuse? Describe your history.
What's your highest level of education
Current Employment (How long at present job? How many hours a week?)
Brief Work History
Describe your current living situation (Alone, with family, roommates?)
Please indicate which of the follow you receive and how much $ for each. Child support, alimony, SSI/SSDI, public assistance, unemployment, $ from roommates, other income)
Please describe your other loan debt if listed above
Savings (Please list any of the follow and $ amounts in savings account, IRA, 401K, Pension plan, annuity)