Parishioners Helping Parishioners Grant Application Step 1 of 5 - General Information 0% Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Relationship Status (select one)* Single Married Household: provide the name and age of each member of your household. Use the + to add additional slots.*NameAge If you have children, are the enrolled:* At Corpus Christi Elementary School At Central Catholic High School In Religious Education at St. Patrick Church of Merna In CCD Classes at St. Mary's in Downs N/A I am a registered parishioner at (select one):* St. Patrick Church of Merna St. Mary's Church in Downs How many years have you been a registered parishioner?*On average, how many Masses do you attend monthly (daily and/or weekend)*Current monthly financial contribution to the Parish?* Current monthly income for your household?*Please describe your current employment situation?*How is your employment being affected by the pandemic?* List of current monthly bills/expenses: Use the + to add additional slots.* What bills are you seeking assistance with?*