Work Order Request - Community Harvest Church
Reimbursement Request

First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address

Phone Please enter your phone

Location Community Harvest Church

Service Category *

Fill out all forms.

Forms

Priority *

Work Description *

Requested Completion Date *

Attachments

Comments

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Comment 1

Real Person Verification

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180 Cafe Usage Request

The 180 Cafe in the Chad Miller Annex is available for rental to members and/or regular attenders of CHC. This request submission does NOT secure the date requested. It simply sends a request to Erica Caudill for review & follow up.

* Phone Number

Can you receive text messages?

PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.

* How would you classify your CHC member status?

* For what purpose are you requesting usage of the 180 Cafe?

If you chose Non-CHC Related Personal Use - Other, please describe the request reason in detail.

* For which date are you requesting to reserve the 180 Cafe?

Submissions will be reviewed and responded to within 1-3 business days unless marked with the highest priority.

Appointment Request

This form will be submitted to the Director of Administration only. Appointment requests will be addressed within 1-2 business days unless request is marked with highest priority.

Can you receive text messages?

PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.

* With whom would you like to request a meeting?

If you chose Other CHC Leader, please provide their name.

* Please provide a reason for the appointment request. If the reason is confidential, please type PRIVATE.

If you'd like to request a meeting, but you're not sure with whom, please explain the reason for the request below.

Contact Info Update

Contact updates are sent to the Director of Administration to correct contact records in our database. This information is used for ministry purposes only.

Can you receive text messages?

* How would you classify your CHC member status?

* What information needs updated? Please check all that apply.

First/Last Name
Phone Number
Email Address
Home Address
Other Personal Information

* Please provide the current information to be corrected. Provide as much detail needed to update the record.

Requests will be reviewed and responded to within 1-3 business days.

Reimbursement Request

Reimbursement requests are submitted to the Director of Administration for approval. Submission of the request does NOT guarantee approval. Each request is thoroughly reviewed.

Can you receive text messages?

PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.

* What did you purchase? Please briefly describe.

* This purchase benefits which ministry or service area?

* What is the name of your direct leader?

* Did you get pre-approval from your ministry leader before making the purchase?

If no, please explain.

* Do you have receipts or proof of purchase?

If no, please explain.

Requests will be reviewed and responded to within 1-3 business days.

Supply Order Request

This is for ministry personnel to submit supply requests to the Director of Administration. Requests will be reviewed and responded to within 1-3 business days.

Can you receive texts?

PLEASE NOTE: Choosing yes does NOT subscribe you to recurring text messages from CHC.

Email Address

* Ministry or Service Area

* Did you discuss the supply request with your ministry leader prior to requesting?

* Please list the supplies needed. Provide as much detail as possible. (Type, quantity, specifics needed for ordering, etc.)

* Is there a specific date the request needs to be completed?

If yes, please provide the requested completion date.