UNITED WE PAINT Volunteer Web Site

Foothill Federal Credit Union (FFCU) is a non-profit, member-owned cooperative financial institution, serving school districts and education related businesses in the San Gabriel Valley. Since 1958, our mission has been to "exceed our members expectations" by providing fast accurate information, friendly professional employees, competitive products, and by understanding and responding to members' needs.

Nomination Form

For The Person You Are Nominating Please provide as much information as possible. All information is kept extremely confidential.

First Name
Last Name
Address
City
State
ZIP
Phone
Neighborhood Area
Owner Birthdate:
Are you disabled?	Yes No
Homeowner Story: (Share with us any disabilities, illnesses, or conditions, Share as much as possible!)
Names of other Household Members:
Name Age
Name Age
Name Age
Name Age
How many children (17 years of age and under) are living in your home?
How many people living in your home are able to help paint (if any)?
Are you currently employed?	Yes No
Where are you currently employed?

Sources of Monthly Income (All information is kept confidential)

Social Security
SSI
Retirement
Interest Income
Public Assistance
Unemployment
Job
Other
Total Income Per Month
How did you hear about United We Paint?
Information On Your Home (Please provide as much information as possible)
Do you own your home?
Is this home your primary residence?
Age of Home? (years)
How long have you owned your home?
How much do you estimate your home is valued today?
Do you have a mortgage on your home?
If Yes, How much do you owe on your home?
When was your home last painted?
Your house is:	1 - Story 2 - Story Mobile Home
Square footage of home?
Constructed of:	Wood Frame Stucco Brick Other
Is there siding on your home?
Are there any external repairs needed prior to painting?	Yes No
IF yes, what repairs? Only minor repairs can be made by volunteers and will be determined by United We Paint.
Your Information (If Different Than Above)

First Name
Last Name
Address
City
State
Home Phone
Work Phone
Email
Relationship To Homeowner

Community Partner

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