2022 Application for Assistance Form

Mission Devine 2022

PO Box 42 Devine, TX 78016
"Love thy Neighbor as thy self" ~ Matthew 22:36
APPLICATIONS WILL BE RECEIVED UNTIL MAY 21, 2022.
Due to the current Covid-19 community restrictions, Mission Devine Workweek (scheduled from June 6-11, 2022) may be a little different than years past. We invite you to complete your application as it will be considered as Mission Devine once again convenes, plans, and schedule this years work week.

Note: Only residents of Devine and Natalia Independent School Districts, and some surrounding areas, will be considered.
Project Number
Date *

Month Day Year
Date
Name of Homeowner / Applicant *

First Name Last Name
Age of Homeowner *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail
example@example.com
Primary Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Are you or someone living in the home a veteran? *

Yes No
Are you a widow or widower? *

Yes No
Are you or anyone living in this home disabled? *

Yes No
Do you own you home? *

Yes No
Are you currently living in this home? *

Yes No
Do you own more than one home? *

Yes No
Is this a Mobile Home? *

Yes No
Do you have property insurance? *

Yes No
Do you pay rent to live here? *

Yes No
Will you be living in this home after repairs are made? *

Yes No
Are you planning to sell this home after repairs are completed? *

Yes No
How Many people are living in the home? *
How many years have you lived in this home? *
Is this your first request with Mission Devine for work to be done at this address? *

Yes No
If Mission Devine has worked on your home before, what was done and when?
Have you spoken to a Mission Devine Committee Member already? *

Yes No
If so, please list their name
How would you like to be contacted? *

By Phone By email
I'm having a problem with: *

Plumbing Electrical Structural Yard / Trees
Please describe the work that needs done *
Briefly describe why you need Mission Devine to complete this work for you *
Would you agree to allow Mission Devine to take pictures of your home before and after Mission Devine work is done? (your name and address will not be published)

Yes No
Thank you for completing this application. We will make every effort to contact you. Please make and keep a copy of this application. If you have not heard back from someone with Mission Devine by June 3, 2019, call 830-931-1532 to check on the status of your application.

Mission Devine was organized by the Devine Ministerial Fellowship and is an ecumenical Christian organization that strives to show God's love by providing home improvements in a loving and compassionate way for those less fortunate in our community. We do not discriminate on the basis of race, color, religion, sex, handicap, familial status or national origin. Projects can only be approved as funding and volunteer crews are available - applications will be considered based on the applicant's need and our available resources. Any and all work will be performed during our annual work week in June.
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Mission Devine 2022