Covenant Parish Coronavirus relief

Dear family, at this time when our world is facing unprecedented trouble, it is important for us to stand with each other. So if you need help in one way or the other, please fill in this form so we can reach out to you. God bless you.

Name *

First

Last

Phone number *

Enter a phone number we can easily reach you on

How have you been impacted by the corona virus? *

You can select multiple options.

Do you have any other source of help? If yes, please state your source of help. *

Other sources of help could include KELA, friends, family, etc

How would you rate your situation? Critical or non critical.

Selected Value: 0

0 means very critical, 10 means non critical.

What kind of help do you think we can render to you? *

Please describe freely the kind of help you seek and how you think we can help.

Would you be open to us reaching out to you with help, advice and prayers? *

Are you available to help others when necessary?

Selected Value: 0

Move the slider to show your level of availability. 0 means you are not available, 10 means you are very available

Do you have any advice or suggestions that can help us be more impactful in this time?

Please let us know about your ideas. How can we be more impactful at this time?