Knights of Columbus Council 8600 Helping Hands Request
In addition to widows and disabled individuals, Helping Hands helps those struggling to afford or complete small to medium size maintenance, modification and/or repair projects for their home. This form can be used to request help.
Email address *
First Name *
Enter your first name (e.g. Mary)
Your answer
Last Name *
Enter your last name (e.g. Smith)
Your answer
Street Address *
Enter your house number and street name (e.g. 1234 Main St)
Your answer
Street Address 2
Enter apartment number / suite if any (e.g. Apt 123)
Your answer
City *
Enter the name of the city in which your reside (e.g. Fairfax)
Your answer
State *
Enter the two-character abbreviation for the state in which you reside (e.g. VA)
Your answer
Zip *
Enter your zip code (e.g. 22032)
Your answer
Home Phone
e.g. 703 323 1234
Your answer
Cell Phone
e.g. 703 323 4321
Your answer
Description of Work *
Enter a detailed description of the work you would like to have done.
Your answer
Availability *
Enter details about when you are available for volunteers to come to your home to work.
Your answer
Comments
Enter any other details you feel are pertinent (e.g. parking considerations, entry way restrictions, special requirements)
Your answer
Submit
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