Jesus Cares
gives to families in our local community in need

 

$100 sponsors a family of 4
Christmas dinner (turkey) and groceries
Coats/ clothing items
Toys/ gifts for the kids
other items as needed

 


Jesus Cares Online Application

Print and download

Applicant Name *
Applicant Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
SPOUSE INFO
Spouse's Name
Spouse's Name
(If you are married, spouses information is required)
Spouses Phone
Spouses Phone
Spouses Date of Birth
Spouses Date of Birth
CHILD 1
Child's Name
Child's Name
Date of Birth
Date of Birth
CHILD 2
Child's Name
Child's Name
Date of Birth
Date of Birth
CHILD 3
Child's Name
Child's Name
Date of Birth
Date of Birth
CHILD 4
Child's Name
Child's Name
Date of Birth
Date of Birth
CHILD 5
Child's Name
Child's Name
Date of Birth
Date of Birth
CHILD 6
Child's Name
Child's Name
Date of Birth
Date of Birth
End of Application