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Please use one of the options below to submit an Application for Assistance. Please only submit one application and give as much detailed information as possible about your status.


If an application does not have enough information,  we will reach out to you via email, but this will delay your application process. Our board reviews new applications twice a month.

Google Form Application


You must have or register for a google account to use this method of application. You DO NOT have to link your correspondence with us to a Gmail account.

You can use any email account you like to correspond with NW Rebuild Project.

Download PDF Application

Click the button below to download a PDF fillable application. Once filled out, save it and email it to

with the email title "Application for Assistance".

Please double check that your information saved correctly before sending to avoid delays.

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