Welcome Home Grant Application

Name *
Name
Phone *
Phone
Current Address *
Current Address
Date of Birth *
Date of Birth
Do you consent to a background check? *
Are you a US citizen or a legal permanent resident? *
Will the home that you purchase with the assistance of our grant be used as your primary residence for a minimum of 3 years? *
Do you have a long term legal location secured to build, place or park the home? *
Permanent tiny home address
Permanent tiny home address
Which builder are you working with to build your home? *
Are you a Veteran? *
Please select your current profession *
Supervisor Phone Number
Supervisor Phone Number
Are you struggling with hardship? *
Waiver Statement *
Photo and Video Consent: Submission of your grant application authorizes Operation Tiny Home and our affiliates, agents and partners to use photographs, video or sound recordings of you. This is completely voluntary and up to you. Your consent to the use of the photographs, video and sound recordings and your image, likeness, appearance, and voice is forever. The photographs, video and sound recordings may be used for any educational and informational purposes whatsoever. You will not receive compensation for the use of your image, likeness, appearance, and voice now or in the future. I understand and agree.