Home Repair Program

Home Repair Program

Our mission is to build partnerships to rehabilitate homes and community facilities of low-income, elderly, and/or disabled homeowners so they can live in warmth, safety, and independence.

Are you a Homeowner looking for home repair assistance? Just fill in the application form, and we will be in contact with you shortly. Already had your work completed? Then we would appreciate your feedback.

Application Form
Home Repair Program Application Form

Project Application

Mission Statement: Our mission is to build partnerships to rehabilitate homes of low-income, elderly, and/or disabled homeowners so they can live in warmth, safety, and independence and know God’s love.

Dear Homeowner: Attached please find a copy of the Haven Community Church Home Repair application. The Haven Home repair program is designed to assist in the repair of homes of those who, due to age, disability and financial hardship, cannot do the work themselves. Skilled and unskilled volunteers are asked to donate six-to-eight hours of service to help with repairs.

Homeowner Information

First and Last Name
Address
City
State/Province
Zip/Postal

Information of Person Completing Application

Complete the following if you are not the homeowner but are assisting the homeowner in completing this application.
First and Last Name

Summary of Work Requested

Why do You Need Our Help?

Program Limitations and Waiver

The program does have several limitations, however:

This program cannot take part in repairs that require a permit. To be eligible for consideration, the HOME TO BE REPAIRED MUST BE OWNED AND OCCUPIED BY THE HOMEOWNER AND THE HOMEOWNER MUST BE ELDERLY, LOW INCOME, HANDICAPPED AND/OR DISABLED. While there are no income requirements, the program does take need in to consideration when making the final selections. In particular, the program is designed to help individuals who have no means to make the needed repairs themselves.

Certification of Information

Homeowners certify that the above information is true and correct to the best of homeowner’s knowledge. Homeowners realize that failure to provide all information requested could result in this application being denied. Homeowners authorize Haven Home Repair Program to check any references necessary to complete the processing of this application for receiving housing repairs through Haven Home Repair Program. Homeowners also understand that any information received will be kept confidential and will be used strictly for determining homeowners’ eligibility for the program. Homeowners have read the information provide by Haven Home Repair Program and have a basic understanding of the program and its limitations. Homeowner(s) give Haven Home Repair Program permission to inspect this home for the purpose of house selection.
Satisfaction Survey
Home Repair Program Satisfaction Survey

Homeowner Satisfaction

This form is to acknowledge that you have received work on your residence from volunteers from Haven Community Church’s Home Repair Program and you are satisfied with the work provided.
Address of Project
City
State/Province
Zip/Postal

Are you looking to apply your God given talents in our community? We can use them now, and in the future. To become a member of the team, just fill out the Volunteer Form. Going to work on a specific project, then please fill out the Waiver Form.

Volunteer Sign Up Form
Home Repair Program Volunteer Sign Up Form

Program Mission

Our mission is to build partnerships to rehabilitate homes and community facilities of low-income, elderly, and/or disabled homeowners so they can live in warmth, safety, and independence.
First and Last Names
Volunteer Waiver Form
Home Repair Program Project Waiver Form

Program Mission

Our mission is to build partnerships to rehabilitate homes and community facilities of low-income, elderly, and/or disabled homeowners so they can live in warmth, safety, and independence.
First and Last Names
Address
City
State/Province
Zip/Postal

Liability Waiver

In consideration of this opportunity afforded to me to assist on a voluntary basis in the Haven Community Church home repair project, a project in which the homes of disadvantaged persons will be repaired by volunteers, and in the light of the aims and purposes of the community service provided by Haven Community Church in organizing this project, I hereby waive any rights or cause of action arising as a result of my participation in said project from which any liability may or could accrue against Haven Community Church. Without limiting the generality of the foregoing, I agree that this waiver shall include any rights or causes of actions resulting from personal injury to me or damage to my property sustained in connection with my activities for the Home Repair Project.

Parental Approval Required

Because you indicated you are under the legal age to execute a Liability Waiver, we need parental or guardianship approval. Please have your parent or guardian contact Dave Hollis.

Would you rather fill out a paper form? If so, you can download a pdf copy of the forms here. Just open up the form you want, download it using the download button at the bottom of the form, fill it out, and give it to Dave Hollis or email it to home-repair@havencc.org.

Application Form
Volunteer Signup Form
Volunteer Waiver Form
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