St. Rose of Lima

A Catholic Church located in Gaithersburg, MD

All Are Welcome • Todos Somos Bienvenidos

Pray ... Grow ... Serve
Orar ... Crecer ... Servir

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Youth Ministry Financial Assistance Request

- Faith Formation

Our parish community recognizes the Gospel call to pastorally accompany people through the difficult circumstances of their lives. If you are in need of partial financial assistance for a Youth Ministry Event, please fill this form out and an email will be sent to the Office of Social Concerns, Office of Youth Ministry & Accounting Office. You will receive an email with more information about your request within two weeks. Thank you for your patience.

Nuestra parroquia reconoce el llamado del Evangelio para acompañar a personas durante las circunstancias dificiles en sus vidas. Si necesitan asistencia financiera para el una actividad del ministerio de jóvenes, por favor complete este formulario para enviarle un correo electronico a la Oficina de Social Concerns, Oficina de Ministerio de Jovenes y Oficina de Contabilidad. Va a recibir un correo electrónico con más información entre dos semanas. Gracias por su paciencia.
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- Financial Assistance Request
  Enquesta de asistencia financiera
- Name of Student // Nombre del estudiante (requerido) REQUIRED Please fill out this field. Please enter valid data.
- The rest of this form should be completed by a parent or legal guardian.
  El resto de este fomulario debe ser completado por un padre o guardián legal.
- First Name // Nombre (requerido) REQUIRED Please fill out this field. Please enter valid data.
- Last Name // Apellido (requerido) REQUIRED Please fill out this field. Please enter valid data.
- Address // Dirección (requerido) REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number // Número de teléfono (requerido) REQUIRED Please fill out this field. Please enter a phone number.
- Email // Correo Electrónico (requerido) REQUIRED Please fill out this field. Please enter an email address.
- Which Mass do you attend here at St. Rose? // ¿A qué misa asiste aquí en Sta. Rosa? (requerido) Please enter valid data.
- Are you a registered Parishioner? // ¿Es usted un feligrés registrado en Sta. Rosa? (requerido) REQUIRED Please fill out this field. Please enter valid data.
- How much are you able to contribute to the cost of the Youth Ministry event? // Cuánto Ud. puede contibuir al evento del ministerio de jovenes? (requerido) REQUIRED Please fill out this field. Please enter valid data.
- Briefly explain your reason for financial assistance request // Brevemente explique su solicitud de asistencia financiera (requerido) REQUIRED Please fill out this field.
- Are you able to support the Religious Education program in other ways, such as volunteering your time throughout the year? // Ud. puede apoyar el programa de educación religiosa en otros maneras como hacer voluntariado durante el año? REQUIRED Please fill out this field. Please enter valid data.
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Youth Ministry Financial Assistance Request

Financial Assistance Request

The rest of this form should be completed by a parent or legal guardian.