COVER Home Repair Application

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COVER is a local non-profit that brings Homeowners and Volunteers together to complete urgently needed home repairs. Our mission is to foster hope and build community.

Homeowner Contact Information
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First Name
Last Name
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xxx-xxx-xxxx

xxx-xxx-xxxx


Alternate Contact Information
If you would like us to discuss your application with anyone else (e.g., a family member, case manager, neighbor), please add their contact information here.

Please add the name, phone number, email address, and agency name if applicable.
Your Home
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Application Criteria
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 $3,500 and $6,000.
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Your application will not be affected by your ability to contribute.
2. Home repair projects need to be urgent.
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, or you have holes in your floor (our scope of work is not limited to these examples). We do not do regular maintenance like painting. We cannot address emergencies; an emergency is something that needs to be addressed immediately. We cannot do projects that require licensure, for example, plumbing and electrical.
3. 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. Home repair projects need to be volunteer friendly
COVER is a volunteer-based organization. Our work crews consist of a work crew leader (trained staff), an assistant work crew leader (trained staff), and volunteers. Work projects cannot be dangerous. For example, we only work on single story, low pitched roofs. Work projects cannot need large equipment.
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Please note if roof is currently leaking.
5. Homeowners need to income qualify
Household income must be equal to or lower than 60% of the region’s Area Median Income (AMI).
Income Limits
Household Size Monthly Income Limit (before taxes)
1 $3,310
2 $3,780
3 $4,255
4 $4,725
5 $5,105
6 $5,485
7 $5,860
8 $6,240

 

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Occupant 1's Information:

Note: It is optional for you to indicate what groups, like veteran status or race, you identify with.  We sometimes use this information to help us secure grants and foundation support for the work we do, but it is not necessary for you to fill out.

 
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Occupant 2's Information:
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Occupant 3's Information:
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Occupant 4's Information:
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Occupant 5's Information:
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Occupant 6's Information:
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Occupant 7's Information:
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Occupant 8's Information:
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Other Expenses and Comments


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