HOME REPAIR APPLICATION 2022 - Amazon AWS
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HOME REPAIR APPLICATION 2022
Dear Homeowner:
CAMP JOY is currently accepting applications for home
repairs. Our first work session will be July 10-16, 2022, and
our second work session will be July 17-23, 2022. The
application deadline is May 15, 2022. The CAMP JOY team
is a Christian outreach mission program of the Hancock
United Methodist Church in Hancock, Maryland, 21750.
OUR PURPOSE is to promote a Christian service through the organized efforts of youth groups,
who repair or improve homes in the tri-state region (MD, WV, PA) near Hancock, MD.
Individuals and/or families seeking help must meet the selection criteria. Our goal is to
enhance the local community while enriching the lives of workers and the homeowners. CAMP
JOY can assist area families and individuals with repair and replacement of portions of their
homes in order to help make life safer and more comfortable. If your application is accepted,
the work that you requested will be completed by volunteers from various youth groups from
the Baltimore-Washington area, as well as from the surrounding region. The workers are
mostly Christian youth and young adults under the direct supervision of an adult leader(s) from
the youth group assigned to complete the task you have requested.
CAMP JOY does not charge for service(s); however, donations are gladly accepted. Also, you
should understand that we are a volunteer group and limited to only two weeks. For this
reason, your request(s) may not be completed. Therefore, we ask that you list on the attached
application, those jobs you would consider a priority.
IN ORDER TO QUALIFY for assistance, certain guidelines MUST be met:
1. You must own the property where the work is to be done;
2. You must be elderly, or physically handicapped, and living on a very limited and fixed
income; (proof of income from the previous year is required)
Additional requirements:
1. You will apply for and obtain all permits that may be required to complete the work;
2. You are responsible for the removal of all trash resulting from the work;
3. You or your representative must be present while the work is ongoing and/or completed;
This application must include an initialed disclaimer and signature of applicant.
January 7, 2022CAMP JOY teams only work a scheduled work week (Monday-Friday). After your application
has been received, members of the team will make arrangements with you to visit and survey
the projects you have requested. This site visit will give our team an idea of the scope of the
job and the materials we will need to purchase. After our site visit, a decision will be made to
accept or reject your work request. Our decision will be based on the guidelines listed above,
as well as the urgency of your request and our financial ability to complete the job. CAMP JOY
reserves the right to accept or reject any application. Should your application be accepted, you
will receive confirmation.
COVID-19 Statement
Camp Joy will be operating under COVID-19 protection protocols as prescribed by the State
Health Departments. As such, if the homeowner or any persons living in the home test positive
or are directly exposed to someone testing positive for COVID-19 within 14 days of camp, you
must notify CAMP JOY. CAMP JOY reserves the right to cancel services.
Please send your application to the following address:
Camp Joy
Hancock United Methodist Church
170 West Main Street
Hancock, Maryland 21750
You may also call the Hancock United Methodist Church at 301-678-6440
January 7, 2022WA ______
HOME REPAIR APPLICATION
DEADLINE: May 15, 2022
HOMEOWNER’S NAME: ___________________________________DATE OF BIRTH: _________
HOME ADDRESS: ___________________________________________________________
____________________________________________________________________________
DO YOU OWN THIS HOME? Yes: __________ No: __________
ARE YOU A US VETERAN? Yes: __________ No: __________
DATE OF BIRTH: ____________________ PHONE NUMBER: _____________________
MAILING ADDRESS: _______________________________________________________
(if different from above)
____________________________________________________________________________
ALTERNATE CONTACT NAME: ______________________________________________________
ALTERNATE PHONE NUMBER: ______________________________________________________
SPECIFIC DIRECTIONS TO THE HOME:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
IS THERE ANY INFORMATION YOU WOULD CARE TO SHARE WITH OUR TEAM THAT WOULD
HELP US TO UNDERSTAND YOUR NEEDS MORE FULLY AND WHY YOU ARE REQUESTING OUR
ASSISTANCE?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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Form Rev. 3: 1/2022REPAIRS REQUESTED
Due to precautions and guidelines for COVID-19, Youth Work Groups will be performing outdoor
repairs only for the 2022 CAMP JOY season.
We only consider doing those repairs listed. Be Specific. We do not perform electrical,
roofing, plumbing, or mechanical work, or work above the ground floor level of any structure.
NOTE: The applicant must apply for and obtain all required PERMITS.
________ R1
Porch/Deck/Step Repair: __________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______ R2 Window/Door Repair: ____________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______R3 Handicapped Accessibility: _________________________________________
____________________________________________________________________________
____________________________________________________________________________
_______ R4Exterior Paint/ Repair (First Floor ONLY): ____________________________
____________________________________________________________________________
____________________________________________________________________________
________ R5
Gutter/Downspout/Fascia Repair (First Floor ONLY): ___________________
_____________________________________________________________________________
_____________________________________________________________________________
________ R6
Yard Cleanup: _____________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________ R7 Other (Please Specify):_______________________________________________
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Form Rev. 3: 1/2022DISCLAIMER:
______ I/We have read the “Homeowner Letter,” dated 1/7/2022.
(Initial here)
______ I/We request the service of CAMP JOY, an outreach mission of the Hancock United
(Initial here) Methodist Church (HUMC), Hancock, MD, 21750 to complete the repairs listed above.
______ I/We hereby release and discharge the Baltimore-Washington Conference of The
(Initial here) United Methodist Church, The United Methodist Church, Hancock United Methodist
Church, CAMP JOY and its representatives, employees, volunteer staff, and agents
from any and all liability, debts, judgments, or suits of any kind which may arise or be
occasioned as a result of my/our participation in CAMP JOY 2022.
______ I/We certify that we own the property site where work will be performed.
(Initial here)
______ We will remove ALL TRASH created from repairs.
(Initial here)
______ I/We will be present while the work is ongoing and at completion.
(Initial here)
______ I/We have attached to this application proof of income from the previous year.
(Initial here)
______ I/We hereby grant CAMP JOY, Hancock United Methodist Church, its representatives,
(Initial here) employees, volunteer staff, and agents, permission to take and use digital images
and/or recordings of ourselves, our property and/or work site(s), and/or
inhabitants/residents for internal use, brochures, and any and all print and/or digital
publicity purposes, strictly as informational material, and to promote CAMP JOY.
PLEASE NOTE: The application deadline is May 15, 2022. In the event that more space is
needed for any answer on this application, please attach a separate sheet of paper.
________________________________________ ________________________________________
PRINTED NAME of Applicant SIGNATURE of Applicant
________________________________________
Date signed
I learned about CAMP JOY from:
I have been a recipient of work done by Senior Center:
CAMP JOY in ________________ _________________________________
List years Name of Senior Center
Newspaper Church:
Website or social media: _________________________________
___________________________ Name of Church
Name of website or social media Other:
_________________________________
Word of mouth/friend
Interfaith Service Coalition
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Form Rev. 3: 1/2022You can also read
