Request Help

Please Note: Our programs offers help to those who are members or regular attenders of Victory and meet most of the following criteria:

Regular attendance for a minimum of 3 months
Actively serving within a ministry of Victory Church
Participation in a Victory small group
Supports Victory through tithes and offerings

Financial Help

See Process Details

SECTION I: Tell Us About Yourself
Full Name (include middle initial if any)
Prefix First Middle Last Suffix
List any additional names you use (maiden name, business name, abbreviated versions of your name, etc.)?
Email*
Enter Email Confirm Email
Primary Contact Number*
Address*
Street Address Address Line 2 City State ZIP Code
Gender*
- Male
- Female
Age*
Please enter a number from 18 to 100.
Birthdate*
Are you married?*
- Yes
- No
Spouse full name (include middle initial if any)
First Middle Last
Do you have any children?*
- Yes
- No
How many children at home?
List ages of children at home.*
Are there other adults, over the age of 18, at home?*
- Yes
- No
List ages and relationship.*
SECTION II : TELL US ABOUT YOUR INVOLVEMENT AT VICTORY
Date completed
Do you attend weekly services at Victory Church?*
Please select the campus you attend.*
How long have you been attending Victory?*
Have you completed Membership Class?*
- Yes
- No
Does your spouse attend weekly services at Victory Church?*
- Yes
- No
Which Victory location do you most frequently attend*
- Norcross
- Hamilton Mill
- Midtown
- Online
Has your spouse completed the Membership Class?*
- Yes
- No
Do you currently attend Small Group Meetings?*
- Yes
- No
Small Group Leader’s Full Name
First Last
Small Group Leader’s phone Number
Have you spoken with your small group leader about this need?
- Yes
- No
What advice did your small group leader give you?
Are you currently serving in a ministry at Victory?*
- Yes
- No
Which ministry or area?
Do you currently support Victory with your tithes and offerings?*
- Yes
- No
Have you spoken with any other Victory Pastors, staff or leaders?*
- Yes
- No
Who did you speak with?
Tell us what has caused this need.*
Did you know we have put together a RESOURCE GUIDE LISTING of local organizations that offer help in the community?*
- Yes
- No
Have you contacted other organizations or family members for help?*
- Yes
- No
If no, why not?
If so, how have they been able to help?
Have you ever applied for financial assistance from Victory before?*
- Yes
- No
Great! When and how did we help?*
Have you ever been denied financial assistance from Victory?*
- Yes
- No
If yes, why?
Section III: Your Employment Information
Are you currently working?*
- Yes
- No
Current employer name*
Current job title*
List start date*
Current monthly salary*
Previous employer name*
Previous job title*
Previous end date*
Previous monthly salary*
Are you drawing unemployment?*
- Yes
- No
How much per week?
Are there any other sources of income (check all that apply)?*
- alimony
- child support
- welfare
- SSI
- food stamps
- social security income
- social security disability income
- pension,disability insurance
- annuity/retirement income
- N/A
How much income do you receive from the source of income you selected above?*
Other sources of income not listed above
Total amount of other income sources
Section IV: Spouse's Employment Information
Spouse currently working?*
- Yes
- No
Spouse current employer name
Spouse job title
Spouse start date
Spouse current monthly salary
Spouse have a previous employer?*
- Yes
- No
Spouse previous employer name*
Spouse previous job title*
Spouse previous monthly salary*
Spouse previous end date*
Is he or she drawing unemployment?*
- Yes
- No
How much per week*
Spouse other sources of income (check all that apply)
- alimony
- child support
- welfare
- SSI
- food stamps
- social security income
- social security disability income
- pension,disability insurance
- annuity/retirement income
- N/A
Spouse other sources of income not listed above
How much income do you receive from the source of income you selected above?*
Spouse total amount of other income sources
SECTION V: BILLS YOU ARE REQUESTING ASSISTANCE FOR
OUR PRIMARY FOCUS OF ASSISTANCE WILL BE TOWARD PERMANENT HOUSING (RENT OR MORTGAGE), UTILITIES, AUTO-RELATED ISSUES, AND FOOD.
Regardless of the urgency of your request, your application will not be processed until all accompanying documentation is received. Incomplete applications are put on hold until appropriate documentation is received.
HELP US PROCESS YOUR APPLICATION FASTER! In order for us to serve you quickly, please make sure to submit all supporting documents and ID with your application. Then follow these guidelines:
When submitting bills, make sure each bill displays your name, address, and account number. The bill should be dated within the last 30 days and each bill must display the vendors name, address, and current amount due.

Please make sure that the names and addresses on your bills and on your license match the address provided on your application.

If any of the bills are in your spouse’s or family members’ names, they will need to apply separately.

Do not send social security information.

If you pay rent to an individual (landlord), LLC ,LLP or DBA, they must complete and return a signed W-9 Form before your application can be processed.

You may submit these items by email to pastoralcare@victoryatl.com, by fax to 855-235-3235.

Regardless of the urgency of your request, your application will not be processed until all accompanying documentation is received. Incomplete applications are put on hold until appropriate documentation is received.

Please note also, that we cannot provide assistance for credit card payments, personal loans, student loans, payments to Title Max, medical bills, alimony and/or child support payments, tuition or legal fees.
How many bills do you need assistance with?*
Bill 1: Company Name/Description/Account No.*
Amount of Bill 1*
Amount Requesting bill 1*
How much of bill 1 do you need assistance with?*
Bill 2: Company Name/Description/Account No.*
Amount of Bill 2*
Amount Requesting bill 2*
How much of bill 2 do you need assistance with?*
Bill 3: Company Name/Description/Account No.*
Amount of Bill 3*
Amount Requesting bill 3*
How much of bill 3 do you need assistance with?*
Bill 4: Company Name/Description/Account No.*
Amount of Bill 4*
Amount Requesting bill 4*
How much of bill 4 do you need assistance with?*
Bill 5: Company Name/Description/Account No.*
Amount of Bill 5*
Amount Requesting bill 5*
How much of bill 5 do you need assistance with?*
ONCE WE HAVE RECEIVED YOUR DOCUMENTATION (FINANCIAL ASSISTANCE FORM, DRIVER’S LICENSE AND COPIES OF COPIES OF ALL BILLS FOR WHICH YOU ARE REQUESTING ASSISTANCE). DO NOT SEND SOCIAL SECURITY INFORMATION. PLEASE BE PATIENT. AGAIN, DUE TO THE VOLUME OF APPLICATIONS WE RECEIVE, PROCESSING YOUR REQUEST COULD TAKE UP TO 7-10 BUSINESS DAYS. IN THE MEANTIME, WE ENCOURAGE YOU TO DOWNLOAD WIDE RESOURCE LIST FOR MORE OPTIONS.

Please Note: Failure to provide all requested information will place your application on hold. It will not be process until we receive all appropriate documents.
Upload up to 5 Bills (acceptable files: jpg, jpeg, pdf, doc, docx, xls, xlsx)

Drop files here or

Accepted file types: jpg, jpeg, pdf, doc, docx, xls, xlsx, Max. file size: 120 MB, Max. files: 5.
ALMOST DONE…
Now that you’ve filled out the application, here’s what you can expect next.

First you will receive an Auto Confirmation email informing you that your application has been submitted

Next our Pastoral Care team will review your application, verify your information in our database and ensure that all supporting documents are in order.

If more information is needed, we will email you to let you know what is still needed to move forward.

Finally, when all your information has been verified, your application will be forwarded to one of our pastors who will call you to discuss your request further.
Please note: DUE TO THE VOLUME OF APPLICATIONS WE RECEIVE, PROCESSING YOUR REQUEST COULD TAKE UP TO 7-10 BUSINESS DAYS. IN THE MEANTIME, WE ENCOURAGE YOU TO DOWNLOAD THE COMMUNITY RESOURCE GUIDE FOR MORE OPTIONS.
You are now ready to submit your application!
Remember that our programs offer help to those who are members or regular attenders of Victory and meet most of the following criteria:
•Regular attendance for a minimum of 3 months
•Actively serving within a ministry of Victory Church
•Participation in a Victory small group
•Supports Victory through tithes and offerings
I have read and understand the criteria for financial assistance.*

Yes, I agree

No, I don't agree
The Information I have submitted is true and correct to the best of my knowledge. (Please provide your initials as your acknowledgement.)*

Take Note

If you pay rent to an individual (landlord), LLC or LP, they must complete and return a signed W-9 Form before your application can be processed.

If any of the bills are in your spouse’s name, he/she will need to apply separately. Email the documents to pastoralcare@victoryatl.com or fax them to 855.235.3235.

Request Help

Financial Help

SECTION I: Tell Us About Yourself

SECTION II : TELL US ABOUT YOUR INVOLVEMENT AT VICTORY

Section III: Your Employment Information

Section IV: Spouse's Employment Information

SECTION V: BILLS YOU ARE REQUESTING ASSISTANCE FOR

Regardless of the urgency of your request, your application will not be processed until all accompanying documentation is received. Incomplete applications are put on hold until appropriate documentation is received.

ALMOST DONE…

You are now ready to submit your application!

Take Note

Victory Church