Clawson Rock the Block Application

Contact Information

Name(Required)

First Last

This event is available to owner-occupied residents within the City of Clawson. Renters are not eligible for services through this program. If you are currently renting and in need of yard clean-up assistance, please contact our office at (248) 338-1843 for community resource referrals.

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Date of Birth(Required)

Armed Forces Service(Required)

Which Branch of Military?

Household Information

Homeownership (Check All that Apply)(Required)

I am the legal owner of my home (my name is listed on the property deed)

This home is my primary residence

I am current on my property taxes or current on a payment plan for delinquent taxes

I am current with my homeowner's insurance policy

How Long Have You Lived in Your Home?

How many adults 18 or older, live in your household?(Required)

How many children 17 years or younger, live in your household?(Required)

Household Disability Status (optional)

One or more household members has a disability

N/A

Do you have accessibility needs, interior or exterior, that are not being met? (installation of grab bars, widened doorways, wheelchair ramp, etc.)

Yes

How did you hear about Habitat Oakland?(Required)

Referring Homeowner Name

I would like to receive updates from Habitat Oakland

Yes

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.

Willingness to Partner (Check All that Apply)(Required)

I will be available and participate in work done at my home alongside Habitat volunteers when scheduled

I or an able-bodied adult (18+) residing at the property will contribute at least 4 hours of sweat equity for my project

I am willing to display partnership materials (lawn sign, stencil)

Rock the Block - Home Repair Service Available

This program focuses on yard clean-up that will be completed by our team of volunteers. Included in this program is a FREE energy audit from the Consumers Energy Helping Neighbors Program for qualified households. A technician will come to your home to perform energy tests to help identify ways to reduce your energy costs. Some people are eligible for free energy upgrades. For more information about this FREE service, click here. You will automatically be referred to this program.

Below is a list of services available. Services are free and subject to home assessment.(Required)

Energy Audit to identify savings

Landscape Clean Up: rake, edge, trim hedges/trees, brush clearing

Leaf Raking

Lawn Mowing

Dumpster Use (Trash and Yard Debris)

Financial Information

Please select the sources of income for your household. Ex: Job, Social Security, Child Support, etc. Please list the amounts BEFORE taxes. Eligible households must have an income at or below 80% of the Area Median Income (AMI).

Income Source 1(Required)

How Often Are You Paid?(Required)

Amount Per Check(Required)

Income Source 2(Required)

How Often Are You Paid?(Required)

Amount Per Check(Required)

Income Source 3(Required)

How Often Are You Paid?(Required)

Amount Per Check(Required)

Income Source 4(Required)

How Often Are You Paid?(Required)

Amount Per Check(Required)

I understand that:

Only projects that can be completed in a day will be approved.

The requested services and completion of my project is dependent on the number of volunteers that register for the event as well as weather conditions.

Services must meet volunteer safety requirements and those that do not will not be completed.

Please Fill Out Your Name as a Signature(Required)

Enter Name of Person Assisting with Application

Information for Government Monitoring Purposes

The following information is requested by the federal government for housing programs in order to monitor the organizations compliance with fair housing law. You are not required to furnish this information, but 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 regulations this organization 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.

What race do you identify with?

Race/National Origin Explanation

Do you consider yourself Hispanic, Latino, Latina, or of Spanish Origin?

What gender do you identify with?

Gender Identity Explanation

I agree to Habitat for Humanity of Oakland County's Privacy Policy

Clawson Rock the Block Application

Contact Information

Household Information

Program Eligibility

Rock the Block - Home Repair Service Available

Financial Information

Information for Government Monitoring Purposes

RESTORE WATERFORD

RESTORE SOUTHFIELD

HABITAT FOR HUMANITY OAKLAND COUNTY