Paint the Town 2022 Application - College Hill

The community of College Hill has been selected by Give Back Cincinnati for the 20th annual Paint the Town on Saturday, June 11, 2022.

During Paint the Town, approximately 20 homes in College Hill will be painted at no cost to the homeowners. While preference is given to homeowners who are physically or financially unable to paint their homes themselves, all applications will be considered.

Would you like your home to be considered for this project? Just fill out the application below by Tuesday, February 15, 2022, but consider the following criteria:

Own and live in their home
Located in College Hill
Be physically or financially unable to complete the work
Home must be in need of being painted to improve its appearance and value
If selected, homeowners must participate in a prep day on May 21, 2022 and on event day on June 11, 2022

After the selection of homes is completed, Give Back Cincinnati will notify home owners by May 1, 2022 of their selection for the event. Homes will be prepped on May 21, 2022.

Name *

First

Last

Address *

Street number

Street name

City

State

Zip code

Phone *

Alt phone

Age *

Physical disabilities?

Physical disabilities details

Total annual household income (check one) *

$20,000 or less
$20,000 - $30,000
$30,000 - $40,000
$40,000 and above

How did you hear about Paint the Town? *

If you you selected "Other" for how you heard about Paint the Town, please explain below:

Do you or someone in your immediate family (parent, brother, sister, spouse, child) own this home? *

Yes
No

Do you live at the address on the application? *

Yes
No

How many years have you lived in the home *

How many children live in the home? *

How many stories is this home: 1-story, 1.5-story, 2-story, 2.5-story, 3-story, more than 3 stories *

Has the exterior of the home been painted *

Yes
No

What is the exterior of your home (check all that apply) *

If you you selected "other" for exterior material, please explain below:

(Please note: Paint the Town cannot paint vinyl siding.)

Declaration:
I/We declare that all statements on this qualification form are true to the best of my/our knowledge.
I/We authorize Give Back Cincinnati to verify any information necessary to process my/our request for service.
I/We understand that, if chosen, my/our home will be painted by supervised volunteers, and will not hold sponsoring agencies or volunteers liable.

Typed name of applicant

Typed name of co-applicant