I understand that by filing this application, I am authorizing Fuller Center for Housing of Utah County to evaluate my actual need for repairs to my home. I own my home, and it is my intent to live in that home for at least the next 5 years as evidence of my willingness to be a partner family. I understand that the evaluation will include personal visits. I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, my application may be denied. By signing, I further agree to allow Fuller Center for Housing of Utah County to use the fact that my home is being repaired to increase awareness of their mission; photographs, videos, and other media may be taken and used to promote Fuller Center’s mission. I have read this agreement and understand that my application and all additional required documentation will be securely maintained in Fuller Center for Housing of Utah County files whether or not I am approved for a Greater Blessing project at this time. I understand that information contained in the application packet will be kept in utmost confidence and not shared with any other person or organization outside the Fuller Center for Housing of Utah County and our partner agency, Community Action Services of Utah County.

I acknowledge that I have read and understand the details of the Authorization, Release, and the Privacy Agreement.