Received the following advisory from Habitat for Humanity. Some families may qualify for assistance from Habitat--especially after the hurricane. PAUL FEINER
Brush With Kindness is a volunteer neighborhood program, run by Habitat for Humanity of Westchester, offering light exterior home renovation to low-income homeowners who need help to complete the work. These projects are undertaken throughout the summer, within Westchester County. Exterior painting is the main task to be completed by volunteers. Landscaping, clean-up and minor repairs (excluding roof repairs) may be done depending on the skills and the size of the volunteer team.
Please fill out the application completely, and return it to:
A Brush With Kindness Program, 524 Main Street, New Rochelle, NY 10801
HOMEOWNER INFORMATION
Name of Homeowner(s)____________________________________________________________
Address: ________________________________________________________________________
City: _________________________________________State:_______ Zip Code:_______________
Phone Number(s): Home: ___________________________ Work: __________________________
List all others living at this address and their ages:
Name: ___________________________________________________________ Age: ___________
Name: ___________________________________________________________Age: ____________
Name: ___________________________________________________________ Age: ___________
Name: ___________________________________________________________ Age: ___________
PARTNERSHIP WITH “A BRUSH WITH KINDNESS”
It is important that our volunteers have use of bathroom facilities. Will your bathroom facilities be available to volunteers? Yes______ No _____
If your home is chosen, will you be willing to be interviewed or have your picture taken by the media? Yes_____ No _____
Sign name for approval: _____________________________________________________________
HOUSE INFORMATION: Circle the size of your home:
1 story 1.5 story 2 story 2.5 story 3 story
Type of material on house (wood, stucco, aluminum, brick, shakes, etc.)
House Siding __________________________ Trim _________________________
Garage Siding _________________________ Trim _________________________
Circle parts of home that need painting: Check garage size:
House Siding 1 stall __________
Garage Siding 2 stall __________
House Trim 3 stall __________
Garage Trim no garage _______
Other - Fence / Deck / Shed __________________________________________________________
Please list and describe all other outside work that you would like done (except roof repair):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
SPECIAL NEEDS/ pumping out water/ debris removal etc....
Does anyone in your home have special needs?
Please describe: ___________________________________________________________________
_________________________________________________________________________________
Are there any other special family circumstances we should consider?
_________________________________________________________________________________
INCOME INFORMATION
Please indicate the income of all persons living in the home.
Combined annual income from salaries, public assistance, pension, social security, rental income, etc all info confidential__________________________________________________________________
Please list all the adults living in your house.
HOMEOWNER AGREEMENT: I certify that the information on this application is correct to the best of my knowledge. I have no plans of moving or selling my property in the next two years. I confirm that my home is a safe place for volunteers to work. I understand that all physically able persons living in my home or visiting during the time that volunteers are working on my home will be expected to work alongside A Brush With Kindness volunteers. I also understand that the people who work on my home are volunteers and that A Brush With Kindness makes no warranties, expressed or implied, regarding any materials used or work done by anyone at my house.
I accept and agree to the stated provisions of this program and release A Brush With Kindness, Habitat For Humanity of Westchester, Inc., and all associated with it from any and all liability.
_______________________________________________ ______________________
Homeowner Signature Date
All potential homes must be tested for the presence of lead based paint. One of our staff will perform a minor test when they inspect your home. Please sign below to give your approval for this test.
________________________________________________ ______________________
Homeowner Signature Date