Jennings County Owner-Occupied Rehabilitation (OOR)

Application Screening Tool

Jennings County is using an application screening tool to help select homeowner participants in its Owner-Occupied Rehabilitation (OOR) Program. With funding secured from the Indiana Office of Community & Rural Affairs, this program will provide essential home repairs to approximately 30-35 homeowners who meet income requirements defined by the Department of Housing & Urban Development. The preliminary application deadline is Friday, February 13, 2026. Please note that this is not an emergency repair program, and construction is expected to begin in Summer 2026.

Following the application deadline, a representative from Administrative Resources association (ARa) will contact homeowners with an application status update and discuss potential next steps. Homeowners selected to participate in the program will be required to complete an income verification process and an initial home inspection before any repair work may begin.

To avoid delays in processing your application and to ensure your eligibility, it is essential that you provide complete and accurate information. Any missing or incomplete responses may result in processing delays or disqualification. All submitted information will be verified during an income verification process.

When you have completed your survey, please press DONE so that your responses will be properly saved.

If you have questions about program eligibility, CLICK HERE to access the FAQs for Jennings County OOR Program.

For a step-by-step overview of the Jennings County OOR Program, please CLICK HERE to access the Post-Award OOR FAQs for Homeowners document.

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* 1. Please provide the following contact information

Applicant Name *

Co-Applicant Name

Home Address *

City *

County *

Email Address *

Cell Phone Number *

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* 2. Do you own your home?

Yes

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* 3. Is your home on a permanent foundation?

Yes

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* 4. Do you live within county limits?

Yes

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* 5. Is the address you provided your primary residence?

Yes

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* 6. Do you have a mortgage for the address you provided?

Yes

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* 7. Do you have home insurance?

Yes

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* 8. Are your property taxes up to date?

Yes

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* 9. Is your home located in a floodplain?

Yes

Don't Know

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* 10. What types of home repairs are you requesting financial assistance for?

Roof Repair or Replacement

Heating and Cooling Replacement

Water Heater Replacement

ADA Modifications to the threshold of the home

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* 11. Enter any comments you have about the urgency of your repair request.

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* 12. What is your primary source of income?

Employment (full-time or part-time)

Social Security

Disability Benefits

Retirement Income

Unemployment

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* 13. What is your total annual household income before taxes?

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* 14. How many people live in your home?

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* 15. How many people over the age of 18 live in your home?

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* 16. Please provide the NAMES of everyone living in your home, including yourself.

Person 1

Person 2

Person 3

Person 4

Person 5

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* 17. Please provide the DATES OF BIRTH of everyone living in your home, including yourself.

Person 1

Person 2

Person 3

Person 4

Person 5

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* 18. Please provide the MONTHLY SALARY/WAGES of everyone living in your home, including yourself.

Person 1

Person 2

Person 3

Person 4

Person 5

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* 19. What the race/ethnicity of everyone living in your home?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Another race

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* 20. Does anyone in your household belong to the following groups:

Individuals with Disability

Elderly (62+ years or older)

Veterans

Single Parent Head of Household

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* 21. Would home repair assistance be helpful for you because you currently care for—or have previously cared for—someone with a substance use disorder (including opioid use disorder) or another mental health condition?

Yes

Please explain.

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* 22. Does your current income or employment status impact your ability to make necessary home repairs?

Yes

Please explain.

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* 23. Do you have ongoing housing issues that have persisted over the past 3-5 years?

Yes

Please explain.

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* 24. Do you have any health or safety concerns related to your home?

Yes

Please explain.

By submitting this application, I pledge the following:

· I certify that all information provided in this document is true and accurate to the best of my knowledge.

· I acknowledge that providing incomplete or inaccurate information may result in delays or disqualification from the program.

· I authorize Jennings County and its representatives to verify any information contained herein.

· I understand that if I receive assistance, I must comply with all program requirements, including future income verifications and home inspections.

· I understand that I must allow a licensed home inspector to conduct both an initial and final inspection of my home while I am present.

· I acknowledge that I do not have the option to select the contractor assigned to perform the work on my home.

· I understand that radon testing and mitigation are required for this program and will be provided at no cost to the homeowner.