APPLICATION

UPDATE FOR 2022: WE HAVE RECEIVED 100 APPLICATIONS AS OF FEBRUARY 2022. WE ARE ONLY PLANNING ON FUNDING 12 PROJECTS FOR THIS CALENDAR YEAR. PLEASE PRAY WE WILL ADD MORE FUNDING, BUT PLEASE UNDERSTAND THIS MAY TAKE TIME TO FUND YOUR HOME PROJECT.

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 a $10,000 reparation payment from 1256 Movement, please fill out the following form. Our commitment is to be in touch with you within a month of completing your application.

CONTRACTORS: If you are a contractor and want to join a contractor development program through 1256 Movement, you may also fill out the form and complete whatever blanks apply to you. If something in the form does not apply and is “required” please type “N/A” and continue with the application.

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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