The ROOF Project
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The application form for nominations can be found below, they can also be picked up at MacCallum Building Supplies.
Nominations will be accepted from April 1 - May 31, 2013.
For a list of qualifications and guidelines please
click here
Applications, videos and photos can be mailed or emailed to the following:
The ROOF Project
123 Indian Garden Road
Red Bank, NB E9E 1T1
nominate@theroofproject.com
You can download the PDF File below or you can submit your application using the online form below. If you are unable to view the PDF file you may need to install Adobe Reader on your computer. To do so, please visit
Adobe Reader
.
Nomination Form
File Size:
342 kb
File Type:
pdf
Download File
Nominate Online
HOMEOWNER
Name
*
First
Last
Address of Home
*
Phone Number
*
-
-
Email
*
Marital Status
*
Married
Single
Divorced
List all members of the household, along with the relationship to the homeowner
Name, Age and Relationship:
*
Name, Age and Relationship:
*
Name, Age and Relationship:
*
Name, Age and Relationship:
*
Household Income
*
Under $15,000
$15,001 - $30,000
$30, 001 - $50,000
$50,001 - $75,000
Over $75,000
HOUSE SPECIFICATIONS
Style of House
*
Number of Levels
*
Number of Bedrooms
*
Number of Bathrooms
*
Approximate Sq. Footage of House
*
Approximate Age of Home
*
Picture of Roof
*
Max file size: 20MB
NOMINATOR INFORMATION
Name
*
First
Last
Address
*
Email
*
Home Phone Number
*
-
-
Cell Phone Number
*
-
-
Relationship to Homeowner
*
FAMILY STORY
Please summarize the Families current financial situation and how it affects the home. Why do they need a new roof? What makes this family deserving? What makes this situation unique? Please be sure to include what you find to be inspirational about this family and what they have given back to the community in the midst of their struggles.
Comment
*
AGREEMENT
If selected, the family in need may be filmed, videotaped and photographed and the family’s name, images and likeness may be used to publicize, and advertise for The ROOF Project and/or partners of The ROOF Project. This information will also be publicized on the website for The ROOF Project.
If selected, prior to receiving the roof, the selected family must execute a waiver, waiving any rights of privacy or publicity in connection with this promotion, along with a permission to publish their information on the website for The ROOF Project.
Submit
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