Program Interest Confirmation
Please complete this form to indicate your interest and to receive more information about the Building Shalom Financial Literacy and Homebuyer Preparation Program.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about our program?
What is the mission of Building Shalom?
To build blighted neighborhoods into beautiful and beloved neighborhoods.
To build homes, communities, and hope by partnering with families in need to build and purchase affordable housing.
To provide a nurturing and supportive environment for homeless and nearly homeless families and individuals as they move toward wholeness.
What is the goal of the FLHP Program?
Improve the gymnastic and athletic abilities of Rocky Mount citizens.
Eliminate substandard housing and make decent, affordable homes a reality for everyone.
Create holistic homeowners who restore and reinvest in their communities.
What organization did Building Shalom grow out of?
Habitat for Humanity
Peacemakers
Neighborhood Reinvestment Corporation
Which of the following is NOT a requirement of participating in the FLHP Program?
New Construction Hours
Budget Nights
Financial Literacy and Homebuyer Workshops
Community Service Hours
Well-Being/Personal Development Hours
Religious Affiliation and Worship Attendance
What are Construction Hours that are required in the program?
Please Select
sweat equity on homes in the community
Saturday morning instruction
Gathering to establish plans for financial flourishing
What are Budget Nights that are required in the program?
Please Select
2 monthly hours of giving back to the community
Gathering to establish plans for flourishing financially
2 monthly hours set apart for each participant to grow toward their individual goals
What are Financial Literacy and Homebuyer Workshops that are required in the program?
Please Select
2 monthly hours of giving back to the community
Saturday morning instruction to help develop good financial habits
sweat equity on homes in the community
What are the Community Service Hours required in the program
Please Select
2 monthly hours set apart for each participant to grow toward their individual goals
2 monthly hours of giving back to the community
Saturday morning instruction
What are the Well-Being Hours required in the program?
Please Select
2 monthly hours of giving back to the community
2 monthly hours set apart for each participant to grow toward their individual goals
sweat equity on homes in the community
Photo Release Form
*
I authorize Building Shalom Incorporated (BSI) to take my photographs and videos. I authorize BSI to use my photos on social media platforms. I hereby affirm that such release to BSI does not constitute any form of compensation, including royalties arising from the photographs, to my benefit. I understand and agree that photographs in the possession of the releasee (BSI) shall become the property of the releasee. The use and publication of the photographs however, shall conform to my rights as a subject of said photographs. I hereby waive my right to inspect or approve the photographs by which my likeness appears. I hereby hold harmless, release, and forever discharge BSI from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. Your signature indicates you have read and understand these statements.
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