A Brush With Kindness Inquiry Form

The information below will be used to help determine if A Brush with Kindness is right for your exterior home repair needs. Please review the program description before completing this form. All personal information (name, address, phone) will be kept confidential.

  • Prospective Applicant Information



  • Residence Information



  • Documentation

    Are you able to provide documentation that you meet the following requirements of A Brush with Kindness? (Do not provide documents at this time.)


  • (include all sources of income for all adults in the home)