Construct RELIEF Sponsored Home Build Application

Please complete this online application below in its entirety and attach as much supporting documentation as possible. The information provided will help us determine which home, or homes, will be re-constructed. We know many homes have suffered damage, and the more support our organization receives from the community the more we will be able to help.

Alternatively, you can download a PDF version of this form (see link below) and mail it to:
Construct Relief Foundation
c/o Think Design Architecture
101 Victory Boulevard
Staten Island, N.Y. 10301

Or email to: info@constructrelief.org
Or Fax: (718) 987-4397

Download Construct Relief Sponsor Application

 

Online Application

Sponsor Information

Sponsor Name*

Address*


City State* Zip*

Phone Number*

Email Address*

Owner Information

Owner of Damaged Home*

Address*


City State* Zip*

Phone Number*

Email Address*

Additional Information

  1. 1. How did you hear about us?
  2. 2. Number of years residing at the home:
  3. 3. Please write why you feel this building/owner should be chosen for the rebuild. Please attach photos below of the building damaged.

Attachments (JPG, PNG, PDF formats accepted | 1MB max. size per file)




Copyright © 2012 The Construct Relief Organization.