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REFERRAL

The Kairos Benevolence Fund exists to provide compassion and care for ministry colleagues.

Individuals wishing to refer someone to the Kairos Benevolence Fund for assistance should complete all of the following information. You must be willing to be contacted by a KBF staff member for additional clarification or details; however, you may request that you remain anonymous to the person you refer. Your referral will be contacted and asked to complete an application form. The Kairos Benevolence Fund will provide you with the final determination regarding the eligibility of your referral to receive a grant from the fund. Confidentiality will be maintained throughout this process.

Once you have completed the information requested, you may click submit to send the information electronically, or you may print and mail the form to:

Kairos Benevolence Fund - Attention: David Pace
PO Box 19700
Irvine, CA 92623-9700

Download and print this form as a .pdf

* Required Fields

Kairos Benevolence Fund Referral Form

  • YOUR INFORMATION

  • YOUR REFERRALS INFORMATION

  • CERTIFICATION