Assistance Request

The Knights of Columbus was formed to render financial aid to members and their families. Mutual aid and assistance are offered to sick, disabled and needy members and their families. Social and intellectual fellowship is promoted among members and their families through educational, charitable, religious, social welfare, war relief and public relief works.

To request financial or other types of assistance, please complete the Assistance Request form and submit it to the St Clement Knights of Columbus Council. You may request assistance using the form below. Alternatively, download the form and send it to the Council.

On-line Assistance Request Form

Applicant Contact Information

Name
EMail Only used to respond to your request!
Phone Number Only used to respond to your request!

Assistance Recipient Information

Name
Address
City
State
Zip Code
Primary Mission of Recipient

Requested Assistance Details

Monetary Amount or Service Requested
Recipient's Use of Financial Assistance or Benefit of Provided Service

Alignment to Knights Of Columbus Core Principle

Please mark the Knights of Columbus Core Principle that best represents the use for requested assistance.

Charity - Helping those in need by conducting food drives and donating food to local soup kitchens and food pantries, volunteering at Special Olympics and supporting, both spiritually and materially, mothers who choose life for their babies.
Unity - Works of support and encouragement to make life better in your parish and community.
Fraternity - Providing assistance to the widows and children left behind when the family breadwinner has died, and assisting sick and/or disabled members and their families.
Patriotism - Support of our nation or the needs of our service members.