Hardship Response Referral

The goal of the Hardship Response Team is to assist those in the August Gate family who are experiencing hardship and suffering in life by faithfully walking alongside of them, helping to bear their burdens, and caring for them as they need. Please fill out this form for yourself or another covenant member going through a hardship, and the Lead Coordinator of the Hardship Response Team will follow up with you.

Your Information:

First Name

Last Name

Email

Phone Number

Who is experiencing the hardship?

First Name

Last Name

Email

Phone Number

Is this person a covenant member?

Yes

No

Not sure

Is this person a regular attender?

Yes

No

Not sure

Does this person know you are making this report?

Yes

No

Please provide a short summary of their hardship (if you know):

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