Benevolence Need: intake FORM

This form is to be filled out by a NoHo Church Member who is aware of a Person In Need within our church or community* and would like the church's Benevolence Funds to be considered to meet that need.


Some things for you, the "Intake Counselor," to consider:

  • It is imperative that you not make any promises to the Person In Need. NoHo Church funds are limited and, by law, can only meet some very basic needs.
  • Many (not all) needs are the byproduct of a greater need. It should be your desire to help this person beyond their immediate need, if possible, by giving them some recommendations for moving forward.
  • As you fill out this form, be thinking about 2 or 3 recommendations to make that you can follow up with after/if this need is met. (A Benevolence Team member can help you come up with these!) The decision to meet subsequent needs may depend upon whether or not the Person In Need has followed through with your recommendations.

After this form is submitted, the Benevolence Team will review it ASAP, let you know if they have any questions and if the request has been approved or denied, and then go over the next steps (e.g., how payment will be made, what recommendations will be made, etc.). You will receive an email of the form for your records.


*Our "community" is limited to direct relationships such as immediate family, neighbors, co-workers, and classmates, and also includes any resident of North Hollywood and the surrounding neighborhoods (Sun Valley, Arleta, Panorama City, Van Nuys, Valley Glen, Sherman Oaks, Valley Village, Studio City, Toluca Lake, Burbank).

Hang tight while we prepare your form...

This form may capture sensitive data (credit cards, bank accounts…), yet this site isn’t sufficiently secured.

Please contact the site administrator to resolve this issue. He must enable SSL.

This form failed to load. Try reloading this page.

The server may be having issues, or this website’s administrator may have deleted the form.