EnHANDSment Kit Application Form

1. Community Group Information
Community Group Name
Contact Person Name *
Address
Zip
County District (if known)
Phone Number *
Email Address *
2. Project Details
Neighborhood Name *
Event Date
Project Address
Zip
County District (if known)
For Clean-Up kits: Closest intersection where the cleanup will take place
Brief Project Description
(include what you plan to do, where, and who will be involved)
3. Kit Selection (Select one or more kits)
Note: Some kits include borrowed materials that must be returned within 10 days of yourevent. Please refer to the EnHANDSment kits website for a detailed list of items that mustbe returned for each kit.
Small Clean-Up Kit - Includes borrowed items. See website for full list.
Curb Address Painting Kit - Includes borrowed items. See website for full list.
Insert estimated number of houses (ex. 1-10 houses)
Fence Repair and/or Staining Kit - Review website for eligibility requirements.
If selected, please also upload:
- Images of the affected fence (JPEG or PNG formats)
- Proof of submitted permit application
Your browser doesn't have Flash, Silverlight or HTML5 support.
4. Agreement & Submission
I acknowledge that all borrowed materials must be returned
within 10 days.
I understand that the Fence Repair Kit requires an online
review before approval.
Once submitted, you will receive a confirmation email with further details.