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Shiloh Baptist Church of Baltimore County

Please complete this brief survey to help us identify how we can assist you and others in our community.

* First & Last Name
0/50
* Email Address
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* Phone Number
0/50
* Are you a member of Shiloh Baptist Church of Baltimore County?
* Have you been furloughed, terminated, or otherwise directly affected by the United States government shutdown?
* Do you have family and/or friends who have been furloughed, terminated, or affected by the United States government shutdown?

If yes, what areas are you in need? 

* Food
No Need
Most Need
* Housing (mortgage, rent, etc.)
No Need
Most Need
* Utility Bills
No Need
Most Need
* Health (medication, insurance, etc.)
No Need
Most Need
* Childcare
No Need
Most Need
* Employment
No Need
Most Need