Neighbors Helping Neighbors

Neighbors Helping Neighbors

PO Box 286, East Machias, Me  

David Grainger, Program Director  

(207)299-5706  daviddowneast@gmail.com                                   

                                                                  Work Application Form

Home Owner:______________________________________________________________________

Street Address: _________________________________  Mailing Address:

Town:  _______________________________  State:  _____   Zip Code:________________

Phone: (Day)_________________  (evening)___________________________                                       

Type Home: __Mobil/Modular __Frame __Brick __1Story __2 Story  __Other  Do You Own Home ________

Type of work requested: ___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________________.

 Please read the following terms and check each one. 

__ I understand the signing this application does not insure that any or all work will be done.

__ I understand that many of the workers are young people with proper adult supervision.

__ Iunderstand that the work will be done at no expense to owner unless negotiated prior to beginning such work>

__ I understand that this project can be canceled at anytime by either party.

__ I understand that the work may require the work of more thatn one crew under the supervision of the Program Director.

__ I understand that the work may not be of the caliber of a professional contractor and work is not guaranteed.

__ I understand that Down East Maine Missions  has the rights to uto related information, pictures and videos .

__I understand that the owner or an adult representative be will be available for consultation during the project.

__ I and/or my family meet guidelines for low income assistance. (See below)

(Persons in household 1-$17655- 2-$23895, 3-$230135, 4-$36375 add $6240 for each additional person)  Maine LIHEAP guidelines. 

_____________________________________________________________________________________________________

Home Owner Signature: ___________________________________Date:____________ 

NHN Approval Signature:_________________________________   Date:__________                                             

 Neighbors Helping Neighbors (NHN) is a program of Down East Maine Missions (DEMM)

NHN – 1

Mail to Down East Maine Missions, DEMM, PO Box 286, E Machias, ME 04630 or email to daviddoweast@gmail.com 

If you email form type your name in the signature block.

To use this form, copy then past to a word document, insert your personal and project info then send via email to daviddowneast@gmail.com.

 

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Latest comments

06.03 | 06:29

I sent address and phone number haven't heard anything back

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21.02 | 14:35

My address is P O Box 143 Perry , Maine 04667
Phone. 207-853-4185

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14.02 | 10:02

W. Elizabeth Bailey,
The Neighbors Helping Neighbors Program may be able help you. We need you to send us your mailing address or telephone number.

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13.02 | 15:05

a 73 year old widow who is diabetic has back problems.,neuropathty, all problems cause it hard for me to walk. It is very hard for me to get in my home

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