Keystone Care Request

Caring for our Keystone friends is one way we serve others. PLEASE share your immediate need and we will connect with you to see how we might help. Someone from our staff will connect with you within 3 days. IF THIS IS AN EMERGENCY, please contact Michelle Militello at 616-446-0116.

Name

Names/ages of family members in household

This address will receive a confirmation email

Phone

Address

Social Security Number

Driver's License Number

Assistance requested

Rent/Housing Utilities Groceries Household goods Auto repairs

Specific comments about your need

Do you attend Keystone Community Church?

Yes No Attended in the past

Name of church attended

Description

Thank you for reaching out to us! A Keystone staff member will connect with you within 3 days. If you need immediate assistance, please contact Michelle at 616-446-0116.

Keystone Care Request

Description

Please Fix the Following