Community Care Request Form

Thank you for reaching out to us — we’re so glad you did.

At Destiny, it’s our heart to care for our community and support individuals and families in meaningful and practical ways. You are seen, valued, and not alone.

Please complete the information below so we can better understand your needs and follow up with next steps. Please note that depending on the request, processing may take approximately 1–2 weeks min.

At this time, we are unable to provide housing, transportation, or utility assistance. For additional support in these areas, we recommend visiting findhelp.com.

We’re grateful you reached out and count it a blessing to serve you.

PERSONAL INFO:

Name

This address will receive a confirmation email

Phone

Address

Connection / Affiliation

Please Select One

Destiny Church Attender/Member Local Community Member Organization / Nonprofit Representative School or Agency Representative Case Worker / Advocate

NEEDS

How can we support you? (Please select all that apply)

Clothing Furniture Groceries Home Essentials Bag (toiletries, paper towels, toilet paper) Back-to-School Backpack (available in August) Christmas Support (available in December)

Additional Information Please share any additional details that would help us serve you (family size, clothing sizes, specific needs, urgency, etc.):

Community Care Request Form

Description

Please Fix the Following