A Brush with Kindness - Jordan Week of Kindness Paint Program Application

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Thank you for your interest in Twin Cities Habitat for Humanity’s home repair program. This application is to determine your household's eligibility for the A Brush with Kindness program. Please contact our support team if you have any questions at abwk@tchabitat.org or (612) 305-7199.


After you submit your application, Habitat will contact you to let you know if you qualify and are selected for an interview. Please review our eligibility criteria before submitting your application. You will be asked to provide income statements and employment verification of all sources of income in the household (for adults over 18 years of age).

Household Info
Home State                                 MN
Mortgage and Eligibility Information
Equal Opportunity Statement

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The income of each adult member (over the age of 18) will be used to qualify your household the Twin Cities Habitat for Humanity A Brush with Kindness program. Click here to view our current program criteria. 


If you need more information about what documents are required, you can contact abwk@tchabitat.org or (612) 788-8169.

Primary Applicant
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
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The Equal Credit Opportunity Act, a federal law, requires that creditors obtain certain information about persons applying to purchase or finance a dwelling to be occupied by the applicant as a principal residence. For this reason, Twin Cities Habitat collects information about applicant’s race and ethnicity. This information will be removed from the application and will NOT be used in Twin Cities Habitat for Humanity’s decision to sell you a home. If you as the buyer(s) elect not to provide this information, the refusal will be noted on the application. Twin Cities Habitat is then required by law to note the race, national origin and gender of the applicant on the application on the basis of visual observation or the applicant’s surname.
This information will be removed from the application and will not be used in Twin Cities Habitat for Humanity’s decision.
This information will be removed from the application and will not be used in Twin Cities Habitat for Humanity’s decision to sell you a home.
Employment
Please list your current employment history (last 4 months)
Employer / Self Occupation Start Date End Date (leave blank if still employed)
Employment Attachments

You are required to submit information about all income sources for the Primary Applicant, except for food stamps, adoption or foster care assistance, or unemployment.

Press Ctrl to select multiple
Please print, complete, and upload this document
Equal Opportunity Statement

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The Co-Applicant's income will be used to qualify your household for the Twin Cities Habitat for Humanity A Brush with Kindness program. Click here to view our current program criteria. 


If you need more information about what documents are required, you can contact abwk@tchabitat.org or (612) 788-8169.

Co-Applicant
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
Hold Ctrl on your keyboard to select multiple
The Equal Credit Opportunity Act, a federal law, requires that creditors obtain certain information about persons applying to purchase or finance a dwelling to be occupied by the applicant as a principal residence. For this reason, Twin Cities Habitat collects information about applicant’s race and ethnicity. This information will be removed from the application and will NOT be used in Twin Cities Habitat for Humanity’s decision to sell you a home. If you as the buyer(s) elect not to provide this information, the refusal will be noted on the application. Twin Cities Habitat is then required by law to note the race, national origin and gender of the applicant on the application on the basis of visual observation or the applicant’s surname.
This information will be removed from the application and will not be used in Twin Cities Habitat for Humanity’s decision to sell you a home.
This information will be removed from the application and will not be used in Twin Cities Habitat for Humanity’s decision to sell you a home.
Employment
Please list your current employment history (last 4 months)
Employer / Self Occupation Start Date End Date (leave blank if still employed)
Employment Attachments

You are required to submit information about all income sources for the Co-Applicant, except for food stamps, adoption or foster care assistance, or unemployment.

Please print, complete, and upload this document
Equal Opportunity Statement

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The Additional household members' income will be used to qualify your household for the Twin Cities Habitat for Humanity A Brush with Kindness program. Click here to view our current program criteria. 


If you need more information about what documents are required, you can contact abwk@tchabitat.org or (612) 788-8169.


Children, Dependents, Minors





Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment.
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
__________________________________________________________________________________________
Additional Adult Household Members





Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment.
Any person who has a physical
or mental impairment that substantially limits one or more major life activities (walking, talking, hearing, seeing, breathing, learning, performing manual tasks, and caring for oneself); has a record of such impairment; or is regarded as having such impairment. In general, a physical or mental impairment includes hearing, mobility and visual impairments, chronic alcoholism, chronic mental illness, AIDS, AIDS Related Complex, and mental retardation that substantially limit one or more major life activities.
Employment Attachments

You are required to submit information about all income sources for all Additional Household Members over 18 years of age, except for food stamps, adoption or foster care assistance, or unemployment.

edit text
Please print, complete, and upload this document
Equal Opportunity Statement

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Briefly describe your needed home repairs in the sections below. The A Brush with Kindness program focuses on health and safety repairs. Items listed will be considered for repair, but the final decision on what work can be done with our time and financial resources will be made at the discretion of A Brush with Kindness.

The opportunity to have the below work done is dependent on available program resources. 

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Referrals
Unless you give us permission to share your information with other organizations, your application will be kept confidential. If you select "Yes", you give Twin Cities Habitat for Humanity your consent to share the information you provide on this application with similar organizations in cases where A Brush with Kindness is unable to assist you.
Media & Publicity
If you qualify for services through our Age in Place program, there may be opportunities to share about your experience with the program and photos of your family and project for advocacy, marketing, and communication purposes.
Family Helper
Complete this section if you are not the homeowner, but assisting the homeowner to complete this application.
Disclosures & Attachments

Acceptable forms of photo IDs include: Minnesota State Driver’s License or State-Issued ID, and/or a Permanent Resident Card.
Please print, complete, and upload this document
Please print, complete, and upload this document
Equal Opportunity Statement