Sponsor Application Form

The Haven Uplift: Application

Bringing comfort, care, and transformation to families in need Application Deadline: June 1st 2025 Please complete all sections. Incomplete applications may not be considered.
Name:

First NameLast Name
Date of Birth:

MonthDayYear
Phone Number:
Format: (000) 000-0000.
E-mail Address:
Example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?
Other:
HOUSEHOLD DETAILS

How many people live in the home? Relationship(s) of household members to applicant
Describe your household:
Ages of children (if any):
Household Income:
ROOM TO BE MADE OVER
What room are you requesting a makeover for? (e.g., bedroom, living room, Den):
Why does this room need a makeover? (Please describe current condition, challenges, and how it affects your family):
How would a room makeover impact you or your family’s life?
Do you own or rent your home?
How long have you lived at this address?
Is the home safe and accessible for renovation work? YES / NO (please explain if NO):
Photo / Video Testimony: Please upload photos of the room you’re applying for. (Testimonial is optional but encouraged) take your time, be thoughtful, and let your heart shine through!

Cancelof
AGREEMENT I confirm that the information provided is true to the best of my knowledge. I understand that this application does not guarantee selection.
MonthDayYear
Date
Should be Empty:

The Haven Uplift: Application