Recession Response Inquiry Form

Thank you for contacting Vineyard Columbus regarding your needs or your desire to help others during this economic crisis. Please complete this so that we may connect you to people and programs that may help you.

This information will be kept confidential and will help us know how we can best serve you.

We are very eager to assist you. Someone from Vineyard Columbus will be in touch with you soon regarding programs that might be available to you currently through the church, upcoming programs and those available in the community.

Contact Info

Name *
Home Phone *
Work Phone
Cell Phone
Address *
City *
State *
Email *
Preferred Phone Contact       Work   Cell   Home   Day   Evening

Relationship to Vineyard Columbus (VC)

Member     Attendee     Not part of VC
In a Small Group     I Volunteer in Ministry
Small Group/Ministry Leader's Name      

Tell us more about your situation...

Lost My Job
Lost or have no health insurance
Been receiving unemployment
Lost residence or worried about this prospect:
Emergency Need (utilities, food, etc.)
Other

I would like to know more about...

Job and Career Services
Get Help     Help Others
Financial Counsel
Get Help     Help Others
Prayer Support
Get Help     Help Others
Connecting with Believers for Prayer & Encouragement
Get Help     Help Others
Other
Get Help     Help Others