A Brush with Kindness - Home Repair Program Application

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Before you Begin

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.


Repairs are affordable! We offer two financial partnership options: a 2-year repayment plan, or a 10-year forgivable mortgage. Terms and Conditions apply, view the eligibility criteria on our website for details.


If you submit an eligible application, repairs will be scheduled within one year of 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).

Please have the following documents at the ready as JPEG, PNG, or PDF file types on your device to upload into the application as you go.
  •  Color photo identification (driver's license, state ID, or passport) for each adult age 18 and over
  • Last 4 months of income statements (8 if bi-weekly, 4 if monthly, etc.) for each adult age 18 and over
Questions? For more information about acceptable forms of income documentation, visit our application help web page.
  • Current home insurance declaration pages
  • Proof of ownership (ex. Property tax statement, if a mobile home applies the Mobile Home Title is required)
  • Photos (JPEG or PNG file types) of the areas in need of repairs including: 4 photos of the exterior of the house, 1-2 photos of the garage, and 1-5 photos of any other repair request(s).
  • *If a city citation or home insurance notification apply to your situation, submit the letter(s)
  • *If a member of your household is a Veteran, submit the DD-214 discharge form

A Brush with Kindness does not accept incomplete applications, or applications without supporting documentation.

Tip: Do not submit screenshots. Image quality is too poor, and documents must be legible. Instead, set up the document to "print" and select "save as PDF" instead of selecting a printer. Submit the PDF version instead.

Tip: If you do not have a printer and/or scanner available, you can complete forms using online tools such as, "DocHub - PDF Sign & Edit", or your preferred PDF form fill and sign app.


After you submit a completed application, Habitat will contact you within 6-8 weeks to let you know if you may qualify and are selected for an interview. Please review our eligibility criteria before submitting your application.


Applications are due by no later than 4:00 PM on July 30, 2020. Space is limited, apply now!


*Please note that capacity and delays related to our response to COVID-19 will affect our ability to serve the next round of applicants for 2021. Completed applications will be considered first come, first served until July 30, 2020 OR until our resources have been committed - whichever occurs first. Incomplete applications will not be considered. The deadline to apply may change. Keep your eye on the website for the latest updates.

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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) 788-8169.

If you are working with a Referral Partner, complete and upload the Referral Form sent to you by your Navigator.
Household Info
Home State                                 MN
Mortgage and Eligibility Information
A financial agreement in which a homeowner relinquishes equity in their home in exchange for regular payments, typically to supplement retirement income.
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 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 which documents are required, visit our application help website or contact our support team at abwk@tchabitat.org.

Primary Applicant
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.
For Veteran verification, submit DD-214 discharge form.
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
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
TIP: If you do not have a printer and/or scanner available, you can complete the form using online tools such as, "DocHub - PDF Sign & Edit" via a Google Account.
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 which documents are required, visit our application help website or contact our support team at abwk@tchabitat.org.

Co-Applicant
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.
For Veteran verification, submit DD-214 discharge form.
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
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
TIP: If you do not have a printer and/or scanner available, you can complete the form using online tools such as, "DocHub - PDF Sign & Edit" via a Google Account.
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. Adult members of a household include: adult children, relatives, renters, and any person listed on the Title of the home. Click here to view our current program criteria. 


If you need more information about which documents are required, visit our application help website or contact our support team at abwk@tchabitat.org.


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.
For Veteran verification, submit DD-214 discharge form.
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.

Please print, complete, and upload this document
TIP: If you do not have a printer and/or scanner available, you can complete the form using online tools such as, "DocHub - PDF Sign & Edit" via a Google Account.
Equal Opportunity Statement

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Home Repairs

As a reminder, services offered each year vary with the program's capacity and available funding. This round, A Brush with Kindness is considering applications for the following services.
  • Exterior Painting
  • Door and window repairs (exterior only)
  • Handrails (exterior only)
  • Ramp construction
  • Tree care
  • General cleaning (does not include regular lawn care or snow removal)



Proof of Ownership
Proof of Ownership




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. 

The opportunity to have other repairs done is dependent upon capacity and available program resources. If we cannot provide that service, we will do our best to direct you to another organization.

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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 the following if you are not the homeowner, but are assisting the homeowner to complete this application.
Name the Organization sending the referral, or list your relationship to the applicant. Anything else we should know?
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
TIP: If you do not have a printer and/or scanner available, you can complete the form using online tools such as, "DocHub - PDF Sign & Edit" via a Google Account.
Please print, complete, and upload this document
TIP: If you do not have a printer and/or scanner available, you can complete the form using online tools such as, "DocHub - PDF Sign & Edit" via a Google Account.
Once you click 'submit', the form may take a minute to prepare the summary page due to large file sizes.
DO NOT NAVIGATE AWAY FROM THE PAGE. You will have a chance to review and print/save your submission before you confirm submission on the next screen.
Equal Opportunity Statement