Request for Services

Thank you for reaching out to us with your services request. As a Church Family we want to support you with resources (both within our House and from Local Partners) that will assist you and your family in this season. We treat your requests as confidential to the Pastoral Care and Benevolence team. Filling out this request, or speaking with a staff member does not guarantee assistance.

Have you checked the myLNK app yet? It has many local resources and is always our first recommendation.

Your name *

Email address *

.

If you do not attend Mercy City, leave the primary location blank

Primary campus

What services are you looking for? *

I'm looking for connection to an Organization that assists with rent or mortgage or other housing situations. (We do not offer monetary assistance for these requests, but will connect you with another organization)

I am looking for assistance or a connection to an Organization that helps with food

I am looking for assistance or a connection to an Organization that helps with utilities or a bill

I'm looking for assistance or a connection to an Organization that helps with something else not listed

Please describe the situation and what you're looking for assistance with *

What is the total amount requested? *

Please list what organizations you have already been in contact with about this request *

Do you tithe 10% to Mercy City? *

Are you currently in a City Group? *

Are you currently on the Dream Team? *

How did you hear about this form? *

Staff member name, website, friend, other?

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