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1. Hilltown CDBG Program Assessment

Hilltown CDC needs your help! We are working to improve Hilltown programs that provide housing, economic and social service assistance using Community Development Block Grant (CDBG) funds. Your response can help expand these programs or extend them to new towns. We also want your ideas about ways we might change these programs or offer new services. Please take a minute to review the statements below and answer with a YES or NO response on those that address your needs and interests. There are a total of 16 Yes/No response statements and an opportunity to offer suggestions. The survey is anonymous, but if you would like to receive updates and information about these programs, please leave us your email address at the end of the survey (optional).

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* 1. Name of Town you live in:

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* 2. DAYCARE VOUCHERS are a potential new program that would help subsidize the cost of child care for lower income working families in the Hilltowns.

Our household is in need of financial help to pay for childcare expenses:

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* 3. A FOOD PANTRY provides a weekly box of nutritious food to income eligible families. There are Hilltown food pantries located in Goshen, Huntington, Ashfield and Hinsdale.

My household has NOT used a food pantry in the last year but will need to use one this year:

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* 4. My household used a Food Pantry last year but we no longer need to:

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* 5. My household has used a Food Pantry in the past and we expect to use it again this year:

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* 6. The HOUSING REHABILITATION PROGRAM proveds 0% interest deferred payment loans for health and safety repairs to homes owned by lower income homeowners (septic & well repair, roof work, heating, electrical, plumbing etc.) Most loans are forgiven over 15 years.

I am a Hilltown homeowner in need of Housing Rehab Program assistance:

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* 7. I have used the Housing Rehab Program before and need to use it again:

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* 8. The FIRST TIME HOMEBUYER PROGRAM provides homebuyer and money management workshops, homebuyer counseling, downpayment grants and loan financing. Homebuyer Workshops qualify participants for preferred mortgage products (Soft Second mortgage program).

I would like to take a First Time Homebuyer Workshop in the next year:

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* 9. I would like to take a Money Management Workshop to learn how to better manage my finances:

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* 10. I would like information about down payment grants and loan financing for income-eligible first time homebuyers (I am leaving my email address below to receive a reply):

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* 11. The HILLTOWN ELDER NETWORK (HEN) provides help with home chores (meal preparation, cleaning, wood stacking, etc.) to elders and escorted transportation (for shopping and medical appointments) for elders who no longer drive.

I am over age 60 and NOT currently participating in the HEN program. I would like to receive HEN services:

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* 12. I care for an elder over age 60 who needs HEN services. This elder lives in: (click on name of town below).

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* 13. The HEALTH OUTREACH PROGRAM for ELDERS (HOPE) provides in-home nurse visits, physician assessments and podiatry (foot care) to elders who have difficulty getting out to doctor's offices.

I am over age 60 and am NOT currently participating in the HOPE program. I would like to receive HOPE services:

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* 14. I care for an elder over age 60 who needs HOPE services. This elder lives in: (click on name of town below).

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* 15. SENIOR HOUSING: Hilltown CDC manages affordable rental housing for seniors in Westhampton. We are considering building additional senior rental housing in Westhampton, Chesterfield and Goshen.

I am interested in moving to an affordable apartment in the Hilltowns for people at least 62 years old, within the next five years:

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* 16. The FAMILIES TOGETHER program provides training, counseling and peer support to Hilltown families.

I am NOT a current participant but would consider attending Families together workshops or family gatherings. Please send me more information (I am leaving my email address below to receive a reply):

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* 17. YOUR IDEAS? If you are a current or past participant in any of these programs, please share any suggestions you have for ways we might improve or change them. If you are a Hilltown resident, we welcome your ideas about any new programs or projects you would like your Town to implement to help improve your community or the Hilltown region.

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* 18. MAY WE CONTACT YOU? If you would like to receive timely email updates about workshops and services available to you and other residents of your town, please enter your Name, Town and Email Address below:

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