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PRIDE of Ticonderoga will be happy to help

If you are submitting an application for a RESIDENTIAL program, please fill in the form below. If you would like to learn more obout our opportunities for BUSINESSES, please contact us below for more information.

Residential Program Application

  1. Applicant Info
  2. Applicant Name(*)
    Please let us know your name.
  3. Applicant #2
    Invalid Input
    If more than one applicant
  4. Homeowner's Date of Birth(*)
    Please write a subject for your message.
  5. Home Phone(*)
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  6. Cell or Work Phone(*)
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  7. Your Email(*)
    Please let us know your email address.
  8. About the Home
  9. Street Address(*)
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  10. City, State, and Zip(*)
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  11. Full Mailing Address if Different
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  12. City, State, & Zip
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  13. Property Tax Map(*)
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  14. Assessed Value(*)
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  15. Previous Assistance from PRIDE(*)
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  16. Year of Assistance
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  17. Weatherization
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  18. Year of Weatherization
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  19. List the repairs needed in your home(*)
    Please let us know your message.
  20. Current Mortgage Financing
  21. Bank(*)
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  22. Amount(*)
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  23. Household Composition
  24. Family Size(*)
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  25. Please list family members in the home, including you, along with annual income if any.
  26. Name(*)
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  27. Income(*)
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  28. Age(*)
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  29. Name
    Invalid Input
  30. Income
    Invalid Input
  31. Age
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  32. Name
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  33. Income
    Invalid Input
  34. Age
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  35. Name
    Invalid Input
  36. Income
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  37. Age
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  38. Name
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  39. Income
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  40. Age
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  41. Name
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  42. Income
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  43. Age
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  44. This pre-application is being submitted to establish eligibility for assistance under the HOME Program administered by PRIDE. I am aware that PRIDE does not rehabilitate mobile homes. I understand that additional documentation will be required and give permission for PRIDE to verify this information.
  45. I acknowledge that submitting this form is the equivalent of signing it and testify that all information contained herein is accurate to the best of my knowledge.

Downtown Program Application

  1. Contact Us to Learn More
  2. Your Name(*)
    Please let us know your name.
  3. Your Email(*)
    Please let us know your email address.
  4. Subject(*)
    Please write a subject for your message.
  5. Message(*)
    Please let us know your message.