UNITED WE PAINT Volunteer Web Site

Chevron Federal Credit Union is a not-for-profit financial institution dedicated to improving the economic conditions of its members by:

Providing a safe place to save and borrow at competitive rates;

Being service-oriented and member focused;

Providing a broad range of products and services;
Treating all members fairly;

Valuing the diversity of our members and employees; and

Conducting business for the welfare of all our members.

CFCU History
Since 1935, the credit union has grown in financial strength and soundness. Our commitment to members' needs has resulted in over 70 years of success. At the credit union, we emphasize timely, accurate and courteous service because we know how important that is to you.

SAN FRANCISCO 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

San Francisco Partner

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