Bartholomew County OOR Pre-Application Form - Due by Wednesday, September 30, 2026 at 4:00 pm

Bartholomew County is applying for a $500,000 grant through the Indiana Office of Community and Rural Affairs (OCRA) to bring back its local home repair program! Bartholomew County is also contributing $60,000 in local match toward the success of this program.

This pre-application form is the first step for homeowners who may be interested in participating if funding is awarded. Once a funding decision is made by OCRA, completed pre-applications will be reviewed and scored using program guidelines to determine eligibility and participant selection. This program is income limited and your family income must fall below these thresholds at the time your income is verified by program staff.

To learn more about the Bartholomew County Owner-Occupied Rehabilitation (OOR) Program, please review the FAQ document available at this LINK. Doing so will ensure you fully understand the key parts of the program and prevent confusion and misunderstandings. This online pre-application form submission is due by Wednesday, September 30, 2026 at 4:00pm EST. If you are interested in participating, don’t wait to sign up! Paper copies of this form will be made available at Administrative Resources Association (ARa), 748 Franklin Street Columbus, Indiana 47201 between 8:30am and 3:30pm Monday thru Friday. Completed paper forms are also due back by Wednesday, September 30, 2026 at 4:00 EST. You complete either a paper form or online form, but you do not need to do both.

IMPORTANT NOTE ON PROGRAM TIMING: An award announcement from the Indiana Office of Community and Rural Affairs (OCRA) is expected in December 2026. The first group of properties will be selected for participation in January 2027. Repairs are estimated to start in June 2027. We will have no information about this program until after awards are announced by OCRA.

All questions on this form require a response. When you have finished, please click DONE to ensure your responses are properly saved and submitted.

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1. Please provide us with your contact information. (Required.)

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2. Do you live within the program area? To be eligible for the Bartholomew County OOR Program, you must be a county resident- AND you cannot live inside the incorporated limits of Columbus or Hope, as both communities offer their own similar programs. (Required.)

Yes

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3. Do you own your home? (Required.)

Yes

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4. Is your home on a permanent foundation? (Required.)

Yes

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5. Do you have an active mortgage? (Required.)

Yes

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6. Do you have homeowners' insurance? (Required.)

Yes

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7. Are your property taxes paid/up to date? (Required.)

Yes

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8. How many household members live in your home? (Required.)

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9. What is your family's total annual income before taxes? For program calculation purposes, household income and family income are treated the same — anyone living in the home who has income has that income counted toward the total, except for VA service-connected disability payments, which are excluded. (Required.)

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10. What is your family's primary source(s) of income? Please check all that apply. (Required.)

Employment (full-time or part-time)

Social Security

Disability Benefits

Retirement Income

Unemployment

Other (please specify)

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11. What year was your home built?

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12. Which type of repair assistance are you requesting? Please check all that apply. (Required.)

Roof Repair or Replacement

Heating/Cooling System Replacement

Water Heater Replacement

ADA Accessibility - Modifications to the home's entry

ADA Accessibility - select interior modifications that improve ADA accessibility (ex: roll in shower, grab bars, etc.)

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13. In the past 3-5 years, have you received any quotes or estimates for the types of repairs you selected? (Required.)

Yes

If yes, what was the approximate cost for those repairs

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14. In the past 3-5 years, have you experienced any of the following issues at home? (Required.)

Roof leaks or visible roof damage

Heating or cooling system not working properly

Water heater not working properly/unreliable hot water

Difficulty entering/exiting the home due to mobility limitations

None of the above

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15. In the past 3-5 years, how often have these issues affected your household? Please select one. (Required.)

Daily

Weekly

Monthly

Seasonally

Occasionally

Never

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16. Have any of these issues created health or safety concerns for your household? Please check all that apply. (Required.)

Unsafe temperatures during hot or cold weather

Water damage or moisture inside the home

Difficulty entering or exiting the home

Increased risk of falls or injuries

Lack of reliable hot water for bathing or cleaning3

None of the above

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17. Does your current financial status impact your ability to make these home repairs? (Required.)

Yes

Tell us more about your answer - how is your financial situation preventing you from making repairs?

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18. Enter any comments you have about the urgency of your repair request. (Required.)

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19. Does anyone in your household belong to the following groups? (Required.)

Individuals with Disabilities

Elderly (62+ years or older)

Veterans

Single Parent Heads of Households

None of the above

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20. What is your race/ethnicity?

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

Bartholomew County OOR Pre-Application Form - Due by Wednesday, September 30, 2026 at 4:00 pm

Question Title

* 1. Please provide us with your contact information. (Required.)

Question Title

* 2. Do you live within the program area? To be eligible for the Bartholomew County OOR Program, you must be a county resident- AND you cannot live inside the incorporated limits of Columbus or Hope, as both communities offer their own similar programs. (Required.)

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* 3. Do you own your home? (Required.)

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* 4. Is your home on a permanent foundation? (Required.)

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* 5. Do you have an active mortgage? (Required.)

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* 6. Do you have homeowners' insurance? (Required.)

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* 7. Are your property taxes paid/up to date? (Required.)

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* 8. How many household members live in your home? (Required.)

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* 10. What is your family's primary source(s) of income? Please check all that apply. (Required.)

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* 11. What year was your home built?

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* 12. Which type of repair assistance are you requesting? Please check all that apply. (Required.)

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* 13. In the past 3-5 years, have you received any quotes or estimates for the types of repairs you selected? (Required.)

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* 14. In the past 3-5 years, have you experienced any of the following issues at home? (Required.)

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* 15. In the past 3-5 years, how often have these issues affected your household? Please select one. (Required.)

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* 16. Have any of these issues created health or safety concerns for your household? Please check all that apply. (Required.)

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* 17. Does your current financial status impact your ability to make these home repairs? (Required.)

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* 18. Enter any comments you have about the urgency of your repair request. (Required.)

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* 19. Does anyone in your household belong to the following groups? (Required.)

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* 20. What is your race/ethnicity?

1. Please provide us with your contact information. (Required.)

2. Do you live within the program area? To be eligible for the Bartholomew County OOR Program, you must be a county resident- AND you cannot live inside the incorporated limits of Columbus or Hope, as both communities offer their own similar programs. (Required.)

3. Do you own your home? (Required.)

4. Is your home on a permanent foundation? (Required.)

5. Do you have an active mortgage? (Required.)

6. Do you have homeowners' insurance? (Required.)

7. Are your property taxes paid/up to date? (Required.)

8. How many household members live in your home? (Required.)

10. What is your family's primary source(s) of income? Please check all that apply. (Required.)

11. What year was your home built?

12. Which type of repair assistance are you requesting? Please check all that apply. (Required.)

13. In the past 3-5 years, have you received any quotes or estimates for the types of repairs you selected? (Required.)

14. In the past 3-5 years, have you experienced any of the following issues at home? (Required.)

15. In the past 3-5 years, how often have these issues affected your household? Please select one. (Required.)

16. Have any of these issues created health or safety concerns for your household? Please check all that apply. (Required.)

17. Does your current financial status impact your ability to make these home repairs? (Required.)

18. Enter any comments you have about the urgency of your repair request. (Required.)

19. Does anyone in your household belong to the following groups? (Required.)

20. What is your race/ethnicity?