Our team’s mission:  To support, encourage, and provide financial assistance on an emergency basis for those in Hickory (within the city limits). We intend to provide compassionate, prayerful response in accordance with our resources. We will provide assistance no more than once a year, three times for life. This form will be held in confidence except for those with responsibility for reviewing and processing the request.

Please contact Greater Hickory Cooperative Christian Ministries (CCM) prior to completing this form. CCM will provide a referral.

If the check is not cashed within 30 days, we will stop payment unless you have notified the church of unusual circumstances.

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Name & Address - Step 1 of 3
Your Name
Click or drag a file to this area to upload.
Please upload a copy of your photo ID.
Your Email
Physical Address (NOT a P.O. box)
Are there any other adults living in the home?
Are there any children living in the home?