• Participant Application

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    • Household Information 
    • For each person living in the household, including yourself, please enter details below:*
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    • *The Impact Project is not able to work on rental properties. Exceptions for trailer park lot rentals where the applicant is the owner of the home. Park owner permission may be required for outdoor work.

    • Property Information 
    • Need/assistance information 
    • What assistance are you in need of? (Can select more than one)*

    • Miscellaneous Information 
    • Household Financial Information 
    • Household Income Form MONTHLY (if not applicable, please enter a 0 - zero)*
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    • Household Expenses - Average MONTHLY (if not applicable, please enter a 0 - zero)*
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    • Debts - credit cards, home equity loans, car payments, student loan, medical debt (if no debts, enter 0 - zero in first field)*
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    • At this time, we need a copy of the documents listed below. For your protection, please send the documents to our office by mail or drop off at our office. You have 30 days from the time you submit your online application to provide this information to us or your application with be closed. Our mailing address is: The Impact Project, 4 Clinton Street, Greene, NY 13778. If you have any questions please call: 607-656-9499.

    • Terms

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