Blue Ridge Moving Assistance Application
Please fill out this form completely to be considered for moving assistance. Please note that submitting this form does not guarantee that the team will be able to assist you. All applicants must attend BRCC or have a BRCC sponsor. (A sponsor form must be turned in with application.) We will contact you to let you know your application has been received and is being processed. Please note that a decision may take up to 7 business days, so notice must be given at least 10 business days in advance. You will be contacted either way.
Name *
Your answer
Current Address *
Your answer
Email
Your answer
Phone (best number to reach you) *
Your answer
Address Moving To *
Your answer
Does anyone living in the home smoke?
Your answer
Do you own pets?
If yes, please indicate what pets you own.
Your answer
How many steps to the entrance of both places are there? *
Your answer
Do you have a truck for the move? *
How many rooms of furniture to you have to move? *
Your answer
What are the LARGE items you have to move? (TVs, console cabinets, # of bedroom suites, refrigerators, washer/dryer, etc) *
Your answer
Will you have all of the items boxed and ready to go on moving day? *
List the dates when you can move. *
Your answer
Are you receiving assistance from any other organization(s)? *
If yes, please list organization(s) and details of assistance received
Your answer
How many friends/family members are able to help on moving day?
Your answer
Do you attend BRCC? *
How long have you attended?
Your answer
How often do you attend per month?
Your answer
If you do not attend BRCC, do you know someone who does & would be willing to sponsor you?
If yes, you MUST have the Sponsor Agreement Form completed by the BRCC attendee and submit it with this application. You can obtain the form at www.blueridge.org/support
If you do not attend BRCC, where do you attend church?
Your answer
How long have you attended there?
Your answer
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