150 Osmun St Pontiac, MI 48342 | 248-338-1843

Please complete the form below if you are in need of raking and/or minor exterior home repairs through the My Habitat Clarkston Impact weekend this Saturday, November 2nd and Sunday, November 3rd. You will receive a response from a Habitat Representative within 20 business says regarding your eligibility and the next steps.

Applications are currently being accepted for the My Habitat Clarkston Impact Weekend scheduled for

Saturday, November 2, 2019 – Sunday, November 3, 2019

Deadline to Submit Applications is October 4th

Contact Information

Household Information

adults
children

Program Eligibility

Please answer the questions below to provide Habitat with information about your current housing status and your willingness to partner with our organization.

Impact Weekend - Home Repair Service Available

This program focuses on simple landscape clean-up and small exterior home repairs that will be completed by our team of volunteers. Below is a list of services available. Services are subject to change based on an assessment prior to the project start.

In Partnership with the Consumers Energy Helping Neighbors Program, Habitat for Humanity also offers a FREE energy audit, during which a technician can come to your home to perform energy tests to help identify ways to reduce your energy costs. Some people are eligible for free energy efficient upgrades. For more information about this FREE service, click here.

Below is a list of services available. Services and are subject to change based on an assessment.

Due to a high volume of projects taking place over the two days of Impact Weekend please keep in mind that any larger or extensive repair requests may have to be deferred to a later time to be a potential project for the Clarkston Community Church Handy Ministry.

Trash Pick-Up Availability

Financial Information

Please select the sources of income for your household. Ex: Job, Social Security, Child Support, etc. Please list the amounts BEFORE taxes.

In an effort to assist the low-to-moderate income families in our community, please provide an estimate of your household income from any ongoing sources. This information will only be used for internal, application screening purposes to ensure eligibility within program parameters.




I understand that by submitting this application form, I am authorizing Habitat for Humanity of Oakland County (HFHOC) to evaluate my eligibility for home preservation services which includes a criminal background and sexual offender check. I have answered all the questions on this form truthfully. The original or a copy of this form will be retained by HFHOC even if the application is not approved. HFHOC will not share the information on this application form with any outside agency except as needed to provide preservation services I select and are part of the program such as the My Habitat Clarkston Committee and Consumers Energy.

I understand that:

Additional Demographic Information
For government monitoring purposes

The following information is requested by the federal government for housing programs, in order to monitor the organization’s compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information, but you are encouraged to do so.

The law provides that an organization may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulation, this lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the information below, please check the box below.