Hamilton County Home Repair Partnership Application Applicant Information
Thank you for your interest in applying to the Hamilton County Home Repair Partnership. Please complete the information for the questions below. Our partnership seeks to help Hamilton County residents with many different types of repairs. However, your application submission does not guarantee assistance. Our partnership has limitations and we are only able to assist a limited number of applicants each year. We will do our best to process your application and discuss this process with you over the phone within one week of your submission.
Date April 2, 2018 *
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Full Name (First Middle Last) *
Your answer
Street Address *
Your answer
City, State and Zip Code *
Your answer
Home or Cell Phone Number *
Your answer
Work Phone Number
Your answer
Email Address
Your answer
Date of Birth *
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Are you the owner of record for the residence you are applying for?
Social Security Number *
Your answer
What is your current employment status?
Current Marital Status *
Which race or ethinic background do you most identify with?
What gender do you most identify with?
Are you or your spouse a veteran? *
Do you have a co-applicant (Homeowner, if not you or adult who lives with you)? *
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