Photographs and video material are taken at any Northeast Texas Habitat for Humanity, Inc. activities may be reproduced for NETHFH educational, news or promotional material, whether in print, electronic or other media, including the NETHFH websites and social media.

By participating in NETHFH programs, events and activities you grant NETHFH the right to use your name, photograph and any other collected information not of a *confidential nature, for such purposes. This includes information provided verbally or in writing for the “Tell Us Your Story” uses.

All photographs and video material become the property of NETHFH and may be displayed, distributed or used by NETHFH for any purpose.

You also acknowledge NETHFH’s right to crop, splice, treat and edit any photographs or video material at their sole discretion. You waive your right to inspect or approve the finished product, now and in the future, whether that use is known or unknown to you.

You also agree to release, defend, and hold harmless NETHFH and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, from and against any claims, damages or liability arising from or related to the use of the photographs or video material, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or in the taking, processing, reduction or production of the finished product, its publication or distribution.

*Please see NETHFH’s Confidentiality Statement for an explanation of the information that NETHFH treats as confidential.

I (We) understand by my signature filing this application, I am (we are) authorizing Habitat for Humanity to evaluate my (our) actual need for home repair assistance and ability to pay 8% of the total repair cost.

I (We) understand that the application evaluation includes a home and repair assessment, and verification of income. I (We) have answered all the questions on this application truthfully. I (We) understand that if I (we) have not answered the questions truthfully, my (our) application may be denied, and that even if I (we) have already been selected to receive assistance, I (we) may be disqualified from the program. I also understand Habitat will not begin work on my home until ½ of my portion of the repair cost is received.

I (We) understand that Northeast Texas Habitat for Humanity screens all applicant families on National Sex Offender Registry and conducts a criminal background screening. Submission of this application constitutes my consent to this screening for me (applicant/co-applicant) and all persons listed on this application. I further understand that appearance on the National Sex Offender Registry or OFAC list results in denial of my application. Criminal convictions are considered on a by case basis and take into account the age and severity of the offense. However; appearance of a violent felony conviction results in denial.

I also understand that all Applications are subject to funds availability.

PLEASE READ THIS STATEMENT BEFORE COMPLETING THE BOX BELOW: We are requesting the following information to monitor our compliance with the federal Equal Credit Opportunity Act, which prohibits unlawful discrimination. You are not required to provide this information.

We will not take this information (or your decision not to provide this information) into account in connection with your application or credit transaction. The law provides that a creditor may not discriminate based on this information, or based on whether or not you choose to provide it. If you choose not to provide the information, we may note it by visual observation or surname.