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Owner-Occupied Rehabilitation Program Interest Survey

  1. Norfolk Department of Housing and Community Development Logo
  2. Applicant Information
  3. Income Sources - Check ALL that apply*
  4. DOES THIS HOUSE HAVE?
  5. REPAIRS NEEDED?
  6. Review for Waitlist:

    Prospective applicants who meet the baseline criteria are added to the waitlist. Prospective applicants who do not meet the baseline criteria will not be considered further and will be notified by mail and/or email of the reason for ineligibility and appeal process.  

    Prioritization 

    Waitlisted prospective applicants who qualify for Renovate Norfolk will be prioritized according to need. 

    Waitlisted prospective applicants who qualify for Strengthening Neighborhoods OOR will be prioritized based on location within targeted blocks and zones.   

    Lottery Process

    RVN staff will only send out the number of applications that funding capacity and contractor availability allows. Randomized selection will occur by assigning prospective applicants within each priority tier a unique identifier and utilizing a random number selection process.  

    CERTIFICATION

    I understand that completing this survey is not an application for funding or a guarantee of funding. I understand participation in this program is completely voluntary and that I must complete this survey to be added to the waiting list. I understand that selection to complete a full application will be based on meeting the baseline criteria and the prioritization process documented above.

  7. Leave This Blank:

  8. This field is not part of the form submission.