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    Benevolence Intake Form

    Please fill out the form and submit it.
    PERSONAL INFORMATION
    If homeless, put N/A in Line 1 and fill out the city you are currently staying in.
    If not married or in a relationship, put N/A in both boxes
    Put N/A if you don't have any children
    If none, N/A

    CHURCH & SUPPORT INFORMATION
    If they've been assisted, when?
    List the names & numbers of references to be contacted for further information regarding individual
    ​
    (receive verbal permission to contact references)
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    [object Object]

    CURRENT SITUATION AND REASON FOR REQUEST

Submit

Address

3150 SW Center Rd
​Columbus, Ks 66725

Telephone

620.674.3429

Service Times

 SUNDAYS:
9:30am (Sunday School)​ 10:30am (Morning Services)
6:30pm (Evening Services: Youth, Adult Services)
WEDNESDAYS:
​7:00 (Midweek Services & Small Groups)
  • Home
  • About Us
    • Leadership
    • Contact Us
    • Who are we?
    • Times and Location
    • Missions
    • Church History
    • What We Believe
    • Plan of Salvation
    • Plan of Transformation
  • Calendar
    • Upcoming Events
  • Documents/Policies
    • Our Governance
    • Building Use Policy
    • Benevolence Forms
  • Resources
    • Asking for a Friend
    • Blogs
    • Sermons
    • RightNow Media