Thank you for trusting us with your need. We believe and have faith in the power of Jesus Christ and are driven into action by His love for us. Our promise is to work with you to the best of our ability through this process.

“I have loved you with an everlasting love; I have drawn you with an everlasting kindness. I will build you up again…”Jeremiah 31:3-4

We ask that you complete the form below. Your information will give us insight into your situation and will be kept confidential, shared only with those taking part in fulfilling your need.

  • Enter your personal contact information
  • Tell us about yourself. Example: Family, job, hobbies
  • Tell us about your need

If you have any questions or concerns please feel free to contact us at

First Name

Last Name

Daytime Phone

Evening Phone


Your referring partner is Vinings Church - Smyrna, GA

About You

Your Need