Name* Age(if 18 or under)
Phone* Phone
Email Address*
Mailing Address
After screening by the Clearinghouse, needs are referred through your Church Contact Person (CP) Based on the items checked on this form, the CP or a Love INC staff person may call you and ask if you would like to fill an opportunity to reach out in ministering to a need. You are not committed to respond to every opportunity. Thank you for prayerfully considering each opportunity.
Office & Ministry Support
