Share Fund - Brethren Mutual Aid Agency, Inc.

Apply Online

Download Share Fund Application

Name of Congregation / Camp / Ministry

EIN of Congregation / Camp / Ministry

Name of Individual Receiving Assistance

Provide a brief description of the concern:

State the income situation of the individual for which assistance is requested. This should include past, present and possible future income.

3. Give a brief description of ways the applicant currently is working at this problem, financially and otherwise. (Please attach photocopy of the check(s) issued by the applicant, made payable to or on behalf of the recipient.)

Photocopy of check

Give other sources of income (i.e. family, friends and community or government funds.)

Other information that might be helpful during the approval process.

Name of person completeing this form

Position

Telephone Number

Mailing Address

City

State

Zip Code

Full Name (electronic signature)

Date

Print Completed Form

Clear Form (Start Over) | Cancel

Assisting Brethren congregations, camp and related ministries by providing matching funds for individuals in crisis.

Apply Online

Download Share Fund Application