Mercy Fund

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Mercy Fund Request Form

I Have a Need
I am a...
Name*
First Last
Phone*
Email
Address
Street Address City State ZIP Code
Note: If you do not attend Gashland, but found this looking for help during this time, we still want to help! You can send an email to responseteam@gashland.org to learn of resources we might have or can direct you to during this time.
Tell Us About Your Needs
Please select any that may apply to your needs. Feel free to click on one to see how we will try to respond. Please note, as we seek to meet as many needs as possible, we also recognize during this time there are limited resources that may constrain us we will do our best to care for you during this time.
I have the following need(s):
- Professional Counseling
- Financial Assistance
- Miscellaneous Errand
- Computer/Device Help Connecting with Gashland.org
- Household Task
- Personal Contact by Church Member
- Item/Groceries
- Other
Other Needs - Please Describe Below
Because you selected counseling, a confidential email will go to our Senior Pastor, Michael Morefield, who will be in touch with you to help you find a counselor in the area. Gashland has funds to help with this if needed.
All Financial Assistance is handled by the Mercy Fund Team. This information will be sent to this small confidential team in an email. ATTENTION: After hitting submit, you will be directed to fill out our official Mercy Fund Team form. The Mercy Fund Team will respond within two days.
Are you a member at Gashland EPC?*
If no, or you don't know, how long have you attended GEPC?*
Who is your undershepherd?
What amount are you requesting from the Mercy Fund?*
What will these funds be used to pay? (Ex: Utility, car repair, etc).*
Describe the circumstances that prevent you being able to make payments(s) at this time?*
Describe what other financial avenues have been pursued?*
What is your plan for next month and future on-going expenses?*
Have you ever received aid/counsel from the Mercy Fund at GEPC? If yes, please describe 1) what type of aid you received; 2) how much funds you received if financial assistance was given; and 3) when you received it.*
Who referred you?*
Any additional information?*
Please Describe the Errand so We Can Evaluate How We Might Be Able to Help
During this time, we want everyone connected as best as possible. Due to group constraints imposed by the government, we believe getting as many people as possible connected digitally is our best option. Selecting this option with connect you with an opportunity to talk with someone about how to navigate WiFi, Gashland.org and some of our resources.
Household Item Request
While we have limits on what we can do in areas of fixing and helping out with household items, we'd love to hear if you have any need at home (changing light bulbs, mowing lawn, leaky faucet, etc.) so we can assess how we may be able to help. Please describe your request below and someone will be in touch with you.
Items/Groceries Needed
Please note, due to limited resources in grocery stores, we cannot be brand conscious or detailed about items.
- Milk
- Eggs
- Bread
- Bottled Water
- Lunch Meat
- Cereal
- Spaghetti and Sauce
- Canned Goods
- Toilet Paper
- Paper Towels
- Toiletries for Female
- Toiletries for Male
- I Will Need Financial Help Paying for This
- I Am Able to Pay for the Items Delivered
- Cleaning Supplies
- Pet Supplies
- Other:
Other Groceries
Please list any other groceries requested. We do our best to meet these needs but due to some constraints we might not be able to do so.
Grocery Item Payment Question*
We will deliver groceries regardless of this answer, but this helps us navigate the process.
We know these are trying times and as always you can reach out to Pastor Ritchey and Pastor Michael if you need pastoral assistance. But sometimes, we simply need to talk with someone who cares just to stay connected and lift our spirits. By selecting this, someone from the church will contact you to talk.
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HOME
WHO WE ARE
WORSHIP
- Worship With Us Virtually
- Worship With Us in Person
MESSAGES
- Sermon Archives
ENGAGE
GIVE
PRAYER
RESOURCES
JOB OPENINGS

Mercy Fund Request Form

I Have a Need

Tell Us About Your Needs