Findlay Backyard Mission Trip

Please enter your Project Request information



Application

The Backyard Mission Trip and Habitat for Humanity (the Collaboration) are working together to serve our friends and neighbors in Hancock County throughout the year. We are collaborating with many church congregations and organizations throughout the county to serve individuals who have asked for our assistance.

When it’s time to assess your project, someone will contact you to visit your home and discuss your project, including materials needed and times the team will be available to work. This person will be your contact person for the duration of your project. Projects are prioritized by health, safety and accessibility. Based on donations, volunteers and complexity, your request in part or its entirety may be completed by Backyard Mission Trip, Habitat for Humanity, in collaboration with another organization, or may be declined. If your project is complex or requires licensed contractors, several community organizations may have to partner over a period of time to address the repairs.

Please understand that those involved with the Backyard Mission Trip and Habitat for Humanity are all volunteers and that both time and financial resources are limited. They serve with gratitude and grace, but acknowledge that not all tasks may be completed.

For more information or to submit this application: Becky Greeno at 419-379-4903 or via Findlay Municipal Building Lobby Dropbox, 318 Dorney Plaza or Shelly Dermer at 419-429-1400 x5 or at Habitat for Humanity, 1200 Commerce Pkwy. Findlay OH

By submitting your application, you consent to your information being shared with the Collaborative. We will limit access to the spreadsheet to the Collaboration staff and leadership.

First Name:    *(required)
Last Name:    *(required)
Address Line 1:    *(required)
Address Line 2:
City:   *(required)
State:   *(required)
Zipcode:   *(required)
Primary Phone:   *(required)
Secondary Phone:
EMail:
 
Is there a veteran living at this home?:    *(required)
Are you a US Citizen?:    *(required)
Do you own your home?:    *(required)
How many years have you lived at this address?:    *(required)
Do you have funds to assist with the purchase of materials for your project?    *(required)
Do you have tools at home to assist with the project?    *(required)
Is the applicant or anyone at this site disabled?    *(required)

Are you affiliated with an organization/faith-based group who might be willing to volunteer on this project?

   *(required)
Have you requested assistance previously?    *(required)
Have you received assistance previously?    *(required)

Requested Repairs:

Briefly describe the type of work you would like done on your home. The items listed below 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 the planning committee. The work done by this Collaboration will focus on modest home improvement. Our volunteers are not professionals and may not be able to make all repairs. Please understand that due to time, money, and an all-volunteer workforce, some tasks may not be able to be completed or worked on.

InteriorExterior
Please provide details for any repair(S) checked above:

Applicant Agreement:

I, certify that the information on this application is true and accurate. I confirm that, except for the conditions listed in this application, my home is a safe place for volunteers.

I understand that the people who may work on my house are unpaid volunteers; that few, if any of them, are skilled in the building trades; and that the Collaboration MAKES NO WARRANTIES, EXPRESSED OR IMPLIED REGARDING ANY MATERIALS USED OR WORK DONE BY ANYONE ON MY PROPERTY. I hereby agree that I, my assignees, their heirs, distributes, guardians, and legal representatives will not make a claim against, sue or attach the property of the Collaboration or any affiliated organizations or the suppliers of any tools or equipment that I use in these activities, for injury or damage resulting from negligence or other acts, howsoever caused by any employee, agent, contractor of, or participant in. I hereby release the Collaboration or any affiliated organizations from all actions, claims or demands that I, my assignees, heirs, guardians, and legal representatives now have or may hereafter have for injury or damages resulting from my participation in this project.


(required)*By checking this box you agree to all terms and conditions in this form and confirm that alll the information is accurate.
Please Type Your Full Name: *(required)     Today's Date: *(required)

I/we consent to pictures taken and used for marketing, publicizing and advertisement:    *(required)