VCC Benevolence

BENEVOLENCE REQUEST FORM

VCC is able to offer assistance to those who live in Livermore, Pleasanton, and Dublin. Once this form is received, our team will contact you within 48 hours. If you live in Livermore, Pleasanton, or Dublin, the VCC Benevolence Ministry can assist with utilities, transportation, food, and clothing. Rental assistance is available only to VCC members or regular attendees.

However, an exception for non VCC members/regular attendees may be considered if you have been referred to us by one of our partners. If you have been referred by one of our partners, please have them email us their referral before we process your request.

Your name *

Last name

Email address *

Have you received help from VCC in the past? *

Address *

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Marital status *

What is your primary language? *

Do you need a translator? *

Yes

Could you provide a translator?

Yes

Please list all family members living with you:

First/Last Name, Age, and relationship to you

Upload image of your Identification Card. *

No file currently selected

Choose 1 file. Maximum file size 10 MB.

What other means of help have you tried? *

What do you need assistance with? *

Utilities

Transportation

Clothing

Food

Rent - Available for VCC Regular Attendees/Members only

Please describe details of need you selected above. *

Upload copies of the bills you are requesting assistance with.

Name of requester needs to be on Bills / Invoices

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

Referred by:

If you have been referred to us, you need to provide us with the referrer's name and contact information.

VCC Pastor/Staff

VCC Attendee

Monthly Miracles

CityServe

Tri-Valley Seek & Save

School

Friend

Community Member

Other

Referrer’s name and phone number:

Do you regularly attend or are you a covenant member of Valley Community Church? *

You are considered a Valley Community Church member if you have completed your requirements for membership and are registered as a member. You are considered a regular attendee if you have regularly attended Valley Community Church for three to six months AND have filled out a Connect card or have joined a VCC Group

I am not a member or regular attendee.

I am a member of VCC.

I am a regular attendee of VCC. I have attended VCC for at least three months. I have filled out a Connect Card or have joined a VCC Group.

VCC Benevolence
benevolence@valleycommunitychurch.org
9258466622