APPLICATION

HOMEOWNERS OR FUTURE HOMEOWNERS: If you a homeowner wanting to rehab, want to be a homeowner of a new or existing home and want to apply for housing funds from 1256 Movement, please fill out the following form. We have received more than 200 applications. As with every good non-profit, funding is a challenge, and not every application will be funded. We focus on applications from Black families in the Tulsa area in the order they are submitted, and according to perceived need. Please pray more funding will be provided by people joining this movement as donors. Thank you for your patience.

Name *

First

Last
PHONE *
Email Address *
ADDRESS | CITY | STATE | ZIP *
Current Housing *

Please write a few sentences describing your current housing
Future Housing *

Please write a few sentences describing what you want your future housing to be
If you have a contractor, do you have a contract with them?

Yes No I do not have a contractor
If you have a contractor, please enter name and phone number
Do you have blueprints or sketches? *

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