Combined Program Questionnaire
PLEASE NOTE: THIS COMBINED FORM IS FOR BOTH A) HOMEWORD AND B) ADAMS COUNTY COMMUNITY PROJECT. EVERYONE SHOULD FILL OUT PART I. PART II - HOMEWORD ONLY. PART III - ACCP ONLY.

PART I: EVERYONE COMPLETES.

PART II: HOMEWORD (HOME OWNERS)ONLY. Please proceed to "Send" after completing this section.
PART III: ACCP ONLY