Critical Home Repair Information Request
For help or questions with this form or eligibility for the Repair with Kindness Program Contact email
Chaka Robbins
or call 404-223-5180 ext 167
Are you a current Atlanta Habitat homeowner?
Please select...
Yes, I currently own a home with Atlanta Habitat.
No, I do not own a home with Atanta Habitat.
Atlanta Habitat homeowners are not eligible for this program. Please call (404)465-1040 to discuss your options for obtaining needed repairs to your home.
I understand that Atlanta Habitat homeowners do not qualify for this program. I will reach out to Atlanta Habitat to determine if I can obtain repairs for my home. You may close this window.
Do you currently live in the city of Atlanta or South Fulton County?
Please select...
Yes
No
I'm sorry, but our affiliate only works in the city of Atlanta and South Fulton County. Please click
here
to find your closest habitat affiliate.
I understand I am not within Atlanta Habitat's Repair Program area and I will reach out to the appropriate habitat affiliate. You may close this window.
Have you ever been a member of the armed forces or National Guard?
Please select...
Yes
No
Which neighborhood do you live in? If you are unsure, click the
RWK Program Service Areas
Map
Please select...
Ashview Heights
Atlanta University Center
Bankhead
Blair Villa/Poole Creek
Browns Mill Park
College Park
Dixie Hills
East Point
English Avenue
Glenrose Heights
Grove Park
Lakewood
Leila Valley
Norwood Manor
Orchard Knob
Polar Rock
Rebel Valley Forest
Rosedale Heights
South River Gardens
Swallow Circle/Baywood
Sylvan Hills
Thomasville Heights
Vine City
Washington Park
Other Neighborhood in City of Atlanta not listed above
City of Fairburn
City of South Fulton
City of College Park
City of East Point
City of Hapeville
City of Union City
Other
Contact Information
First Name
Last Name
Email
Phone (###) ###-#####
Street Address
City
State
Zip Code
How did you hear about this program? (Check all that apply)
Habitat Homeowner
Friend or Family
Volunteer or Sponsor
Community Event
ReStore
Television/Media
MARTA Ad
Print Flyer
Internet
Facebook
Word of Mouth
Staff Member
Other
Please specify
Online Registration
True
Repair With Kindness
True