ASWD Uplift Application
Please complete the application below to apply for our program. Be sure to fill out all required fields and click Submit at the end. The form will show you a message confirming that it has been successfully submitted.

*Note: Because our inventory is donation based the selection is limited.  Please check out our store either in person or online at https://aswdetroit.my.salesforce-sites.com/inventory BEFORE filling out the application to get an idea of the items we have to offer.  You are more likely to be awarded materials if you are requesting specific materials that are in our warehouse that you know will work for your project.  

Items that we do NOT carry: paint, full sheets of drywall, vinyl/aluminum siding, upholstered furniture, beds, bedding, clothing, textiles, carpet rolls, and food.  

Items that are not salvageable such as shingles, pex, electrical wiring, insulation, ducting, etc, will likely IF available will only be in small quantities, not enough for a full home.  

Most of the items that we have to offer are used and will be granted in "as in" condition.  ASWD does not provide installation or contracting services, nor will it supply all of the materials that you may need to complete your project or install your items.  You should consult with who will be installing the items you are requesting to ensure that the items will meet your needs and work for your home.  

Once the form is submitted, our Uplift Program Manager will contact you to discuss your request IF we have items in our current inventory that may meet your requests and all other requirements are met. At this time we will also advise you on any necessary documentation. Requested documentation may include, but is not limited to, identification, tax documents, project photos, leases/deeds, etc.



Once approved, you will be contacted by the Uplift Program Manager to review program policies and procedures, source items, and arrange for pick-up or delivery of materials. Grants will be awarded in the form of specific items.
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Name (First and Last) *
Phone Number *
Email Address *
What are your preferred forms of contact?  *
Required
Household Size *
Household Annual Income *
Address of home  *
Are you currently residing in this home full time? *
Zip Code *
City *
County *
Does your household receive any type of public assistance? (SNAP, EBT, Section 8 housing, disability, Energy Assistance Program, etc.)
 *
Can you provide verification of need in some form? (Tax status, SNAP card, social worker verification, police report, letter from community leader, etc.) You will need to present this during your appointment.
 *
Do you own or rent your home? *
Required
What type of housing do you live in? *
Required
If we are able to provide you with material what would it mean for you, your household, or community *
What are you biggest challenges? *
Would you be interested in workshops, if so what type? *
How did you hear about the Uplift program?   *
Required
If you were referred by a Social Worker, Church, or Government/Social Services Agency please provide their name.  *
Please provide as much information as possible about the item that you need (especially dimensions).  

If you need a door or window please provide the dimensions.  If you need appliances please specify any size limitations and if it needs to be electric or gas.  

(please do not request a new roof or full sheets of drywall)

The more information we get the easier it will be to get the items you need!
 *
Please list any specific items that you think will work for you that you have either seen in our warehouse or our online store.  
https://aswdetroit.my.salesforce-sites.com/inventory
(This is the best way for us to quickly and successfully match you with items)
 *
Do you require delivery, or are you able to make arrangements to pick up materials if needed?

We are sometimes able to deliver items, but priority will go to individuals that are able to pick up materials.  
 *
Who will be installing the item? (ie you, handyman, technician, contractor, etc)  *
Could you please tell us why you need help *
Is this an urgent need? If so please explain.
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