• Interdenominational Ministerial Alliance

    IMA Financial Assistance Request Form
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  • Current or Most Recent Employer Information

    (You and Spouse):
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  • Additional Household Members

    Add all other people/children living in the household. You will need to upload a copy of each person's Social Security Card.
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  • Other Assistance

    Assistance received or applied for from other agencies:
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  • Request Details

    Please complete the following information concerning your request:
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  • I hereby certify that all the information in this application is true to the best of my knowledge.  I authorize Interdenominational Ministerial Alliance (IMA) and their agents to contact the businesses or individual's necessary to verify that the information submitted with this application for financial assistance is true and correct.  I understand that the IMA may grant or deny my request based on various factors including but not limited to the accuracy of the information submitted with this application.

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