A form for our Crisis Fund

Apply for our Crisis Program

Please complete the following questions if you would like to receive help from our Crisis Program. You can expect to be contacted within 2-3 days after we get your request.

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Please describe your current situation and request for assistance:

Which agencies have you requested assistance from? Who did you speak with and what did they offer?

Please keep in mind we are a small organization meant to be a backstop for those with large funds.

Where do you need assistance?

We primarily serve Franklin County

Total amount of assistance requested?

The maximum available is $200

Solve 9 + 9 = ?

Peace Lutheran Church

5 Scenic Dr., Washington, MO 63090

(636) 221-4325

peacechurchelca@gmail.com

Quick Links

churchtrac