Work Entry

Care Fund Application

For your application to be considered, you must be regularly attending the campus you select on your application.

For information on Bayside's Care Connection eligibility, process, and instructions please first read our Care Connection Information page.

Step 1: Applicant & Spouse Information

First Name

Last Name

Email

Gender

Male Female

Show Spouse

When did you start attending Bayside Church?

What Campus do you attend?

Which service are you currently attending?

Do you belong to a Bayside small group, Bible study, support group or life stage group?

Have you attended Growth Track?

Have you sought financial assistance from a Bayside campus before?

Step 2: Financial Information

Children's names and ages:

Employer

Monthly Net Income:

$

Spouse's Employer

Spouse's Monthly Net Income

$

Other Income

Unemployment Benefits

$

State/Social Security Disability

$

Social Security Medicare

$

Other Income:

$

Worker's Compensation:

$

Child Support

$

Spousal Support

$

Cal Fresh:

$

Living Situation

Are your extended family members aware of your financial need?

Will they help?

Please summarize why you are currently experiencing a financial crisis:

What steps are you personally taking to solve your current situation?

Have your utilities been shut off or do you have a shut-off notice?

Step 3: Monthly Budget Worksheet

Please download and fill out the monthly budget worksheet. This will need to be completed before your application is considered. The worksheet can either be uploaded (in the Uploads section below), emailed, mailed, or dropped off to Bayside's Care Team.

Step 4: Bill Information

List the bills you need assistance with in order of priority. Please remember we can assist with Cable/Internet, Car Payment, Dental, Rent, Utilities, Car Insurance, Car Repair and Phone bills only. No exceptions. Upload copies according to Bayside's guidelines.

Bill #1

Amount due

$

Due date

Bill #2

Amount due

$

Due date

Bill #3

Amount due

$

Due date

Bill #4

Amount due

$

Due date

Step 5: Uploads

Please attached the uploads below, they will all need to be provided before your application is considered. If you are unable to upload, they can be emailed, mailed, or dropped off to Bayside's Care Team.
(File types accepted: jpg, png, gif)

Bill #1 Upload

Upload

Bill #2 Upload

Upload

Bill #3 Upload

Upload

Bill #4 Upload

Upload

Completed Monthly Budget Worksheet

Upload

Copy of Government Issued Id

Upload

Step 6: Acknowledgement (Required)

Please read and acknowledge:

I understand that applying for assistance does not guarantee approval. I understand that I must attend a budget review meeting before any financial decision can be made. I give Bayside Church and its representatives permission to discuss my financial situation. I understand there is a 10-20 business day processing period for Financial Assistance Applications, and I am willing to wait for the results.

By checking this box I agree to the above statement.

Submit Application