Backyard Mission Trip Application 2019
The Findlay Ministerial Association and many congregations and organizations in Hancock County will serve our neighbors on Saturday, April 27, 2019.

If you have a home repair or maintenance project with which volunteers can support your family or organization, please complete the form below and submit it to Becky Greeno at the Municipal Building Lobby Dropbox, 318 Dorney Plaza, by Friday, April 12, 2019. To reach her by phone, call 419-379-4903.

If your project is chosen, someone will contact you before the event to visit your home and discuss your project, including materials needed and times the team will be available to work. The contact person will be your contact person up until the day of the Backyard Mission Trip.

Projects are prioritized by health, safety and accessibility. Based on donations, volunteers and complexity, your request in part or its entirety may be denied. If your project is too large or complicated to be completed in one day, your application may be forwarded to Habitat for Humanity’s Home Repair Program for consideration.

Please understand that those involved in the Backyard Mission 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 on the workday.

For more information, call Becky Greeno at 419-379-4903 or share written communication with her at Municipal Building Lobby Dropbox, 318 Dorney Plaza.

By submitting your application, you consent to your information being posted on the Backyard Mission Trip spreadsheet. We will limit access to the spreadsheet to the leadership group, team leaders and church liaisons, but other persons may have access to your information.

First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
Email Address *
Your answer
Do you own your home? *
Number of Years at Address *
Your answer
Number of adults living in home *
Your answer
Number of children living in home *
Your answer
Total number living in home *
Your answer
Who is your home owner's insurance agency? *
Your answer
Do you have funds to assist with the purchase of materials for your project? *
Is the applicant or anyone at this site disabled? *
If so what is the condition?
Your answer
Do you have tools at home to assist with the project? *
You do not have to be affiliated with a church congregation to receive service this day. However if you are you affiliated with a church congregation in Hancock County, what congregation is it? If you are not affiliated with a church, select None. *
Did you receive help in 2018? *
Where did you learn about Backyard Mission Trip 2019?
Your answer
Requested Repairs:
Briefly describe the type of work you would like done on your home. Attach a separate piece of paper if there is not enough space to list all repairs. Remember that 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 of Backyard Mission Trip. The work done by Backyard Mission Trip will focus on modest home improvement and beautification. We are asking for projects that can be completed in 5-6 hours on this Saturday. Our volunteers are not professionals and may not be able to make all repairs.
Painting. List all exterior painting requirements. Be specific.
Your answer
Yard Work. Indicate if there is yard cleanup, landscaping and/or trash removal requested.
Your answer
Other Minor Exterior Repairs. List any repairs that may be necessary. Examples: broken handrail, rotting porch step, etc.
Your answer
Accessibility Modifications. Examples: wheelchair ramp, bathroom grab bars, accessible shower stall, etc.
Your answer
Appliances. Identify appliances such as stove, refrigerator or hot water heater that need repair.
Your answer
Doors and Windows. Describe repairs requested, including locks, glass, frames, weather-stripping, etc.
Your answer
Carpentry Repairs. Describe problems with doors, floors, porches, steps, walls, ceilings, etc. Indicate places in house needing repair.
Your answer
Other. Identify other repairs requested but not listed above.
Your answer
Applicant’s Media Agreement
The Backyard Mission Trip could work with corporate and/or church sponsors. These sponsors provide funds for our projects. Additionally, they provide some of the volunteers to help complete the work on the home or organization. In celebration, some sponsors may wish to publicize the event and/or information about this event in different newsletters, newspapers, radio stations, television, etc.

I/we consent to having information released about our family/organization to sponsors and for possible, but not limited to, the organization’s newsletters, and website. This may include, but is not limited to, photographs and interviews as well as in-home visits from elected officials.

By submitting your application, you consent to your information being posted on the Backyard Mission Trip spreadsheet. We will limit access to the spreadsheet to the leadership group, team leaders and church liaisons, but other persons may have access to your information.

Please enter the name of the person filling out this form. *
This will help us understand if the application was filled out by the person requesting help, or if the information was entered by a second party.
Your answer
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