Pat Brown Benevolence Request for Service Assistance Pat Brown Request for Service Assistance Form Name * Spouse(If Married) Address How Long? Rent Own Email: Phone Number Home Phone Number Cell Phone Number Work 1.Do you have a personal relationship with Jesus Christ? Yes No Not Sure 2. Are you a member of The Bridge? Yes No (Benevolence services projects are primarily intended for members of The Bridge.) Attend elsewhere... where? 3. Which best describes your attendance at The Bridge? Frequent Sometimes Seldom Never Briefly, explain your need for Service and what led you to request assistance. We will be praying for you and expect we can assist or provide helpful referrals as appropriate.