Weatherization Application

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Weatherization Application

COVER’s mission is to foster hope and build community in the Upper Valley. We do this by bringing together volunteers and homeowners in fellowship and collaboration to complete urgently needed home repair projects and by facilitating the effective reuse of household goods and building materials through our COVER Store.

COVER acknowledges it is easy to focus on the differences that separate us; we look to bridge those differences and share in our common human experience. COVER welcomes the unique contributions each person can bring in terms of their education, opinions, culture, ethnicity, race, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, religion, disability, sexual orientation, recovery status, criminal histories and beliefs.

This is an application for a site visit by a COVER representative. This visit will be made as soon as time permits. All applications are prioritized by need, availability of labor, funds and materials. Participation on the jobsite by household members is welcomed and encouraged.  

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(mm/dd/yyyy)
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Client Contact Information
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First Name
Last Name
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xxx-xxx-xxxx

xxx-xxx-xxxx


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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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To be eligible to host a COVER project there are five criteria that need to be met.
1. Homeowner Involvement
COVER is more than a repair organization. Our goal is to work with you to repair your home. The more homeowners are part of the work day the more successful the project. Homeowner involvement can look different from project to project. For example: homeowners, family, and friends can be part of the work crew if able. If not able, they can spend time and visit with volunteers and staff. Homeowners may also prepare and share lunch with volunteers and staff. Homeowners are invited and encouraged to take part in the opening introductions and the close of day reflection.
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COVER raises all  funds locally to repair homes in the greater Upper Valley. We do not receive state or federal funding.  On average, project costs for are between $100.00 and $2500.00. 

Your application will not be effected by your ability to contribute
2. Urgency
Home repair projects need to be urgent , not regular maintenance or emergencies. A few examples of urgent home repairs would be: your roof is leaking, you are losing a lot of heat because your skirting is in disrepair, you are unable to safely get in and out of your home, you have holes in your floor. (Our scope is work is not limited to these examples.)
3. Service Area
You need to be in our service area. We are a small organization, our service area is limited to within 45 minutes of White River Junction, where our office is located. We use Google Maps to determine travel time from WRJ to your home address. 
4. Volunteer Friendly
Work Projects need to be volunteer friendly. Our work crews are made up of a work crew leader (staff), an assistant work crew leader(staff) and volunteers. Work projects cannot require licensure (plumbing and electrical). Work projects cannot be dangerous. For example, we only work on single story, low pitched roofs. Work projects cannot need large equipment.
5. Homeowners need to income qualify
Household income must be equal to or lower than 60% of the region’s Area Median Income (AMI). For example, monthly income before taxes for 1 person cannot exceed $2990, 2 persons-$3415, 3 persons-$3840, 4 persons-$4,265, 5 persons-$4,610, 6 persons-$4950, 7 persons-$5,290, 8 persons-$5,630
Occupants of Household-- list name, estimated gross monthly income separated by commas. (Include all sources of income)
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One occupant per line.
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One occupant per line.


One occupant per line.


One occupant per line.


Add all additional occupants, ages, income here

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How many veterans, if any, live in this household

Site Information
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Monthly Expenses
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Additional helpful information

Name, relationship, email, phone

Name, agency, email, phone
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Thank you

A COVER representative will contact you for a phone intake to assess the project.