• APPALACHIAN OUTREACH MINISTRIES HOME REPAIR APPLICATION

    2020-2121 HOME REPAIR SEASON
  • In order to serve our clients better, we have provided an online application option.  Please complete the following application.  Download the required documents, date and sign this form, and hit submit.  If you need to submit your forms in a different way, you can fax them to us at: 865-262-9076, or mail them to:

    Appalachian Outreach Ministries

    PO Box CN-71904

    Jefferson City, TN 37760

    If you have any questions you can call us, Monday-Friday 9:00a.m. to 4:00p.m. at:

    865-475-5611

  • IMPORTANT INFORMATION:

    • ALL REQUESTED DOCUMENTS MUST BE RECEIVED WITH YOUR COMPLETED APPLICATION.
    • THE APPLICATION WILL NOT BE PROCESSED UNLESS ALL REQUIRED DOCUMENTATION IS RECEIVED.
  • PLEASE UPLOAD THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:

    • CURRENT MORTGAGE PAYMENT STATEMENT OR TITLE AND DEED
    • CURRENT UTILITY BILL
    • PROOF OF INCOME OF EVERY PERSON IN THE HOUSEHOLD
    • STAMPED PAID RECEIPT OF CURRENT YEAR PROPERTY TAXES
    • VEHICLE REGISTRATION FOR ALL VEHICLES
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  • PLEASE READ AND SIGN THE STATEMENT BELOW:

     

    I hearby understand that any work performed by Appalachian Outreach Ministries Home Repair Program is on a volunteer basis, as one neighbor helps another.  Many of the volunteers are unskilled in nature, but work together to help those in need.  I agree to not hold Appalachian Outreach Ministries, Carson-Newman University, or individual volunteers responsible for the queslity of services performed, AND, understand that all efforts will be made to achieve quality results.

    I grant Applachian Outreach Ministries, its representatives, and employees, the right to take photographs of me, my family and my property.  I aughorize Appalachian Outreach Ministries, its assignees and transferees, to copyright, use, and publish the same; in print and/or electronically.  I agree that Appalachian Outreach Ministries may use such photographs of me and/or my family with or without my name and for any lawful prupose, including for example such purpose as publicity, illustration, advertising, and web content.

    I affirm that all information I provide is truthful to the best of my knowledge and I understand that Appalachian Outreach Ministries does check public records to confirm all provided information.

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