Release of Information
By clicking "I Accept" below, you agree to the following:
I hereby authorize the release of information to Canyon View Vineyard Church (CVVC) to receive the assistance I am requesting. I further certify the information I have stated is true and correct and that all income is reported. I understand CVVC may verify the information on this application and that deliberate misrepresentation of information may subject me to denial of assistance/services.
I give permission for CVVC to discuss my case with other agencies, businesses, churches, attorneys, individuals, and any others deemed necessary to verify application information and/of identify additional sources of assistance. I understand that all information will remain as private as possible within these entities.