New Construction Program Eligibility Tool

Take this quick assessment to see if you meet some of our basic program requirements.

Step 1 of 5 - Consent

BASIC PROGRAM REQUIREMENT TOOL (NOT AN APPLICATION)(Required)

Please read these questions carefully and fill out this form as accurately as possible to receive a preliminary assessment of if you meet some of our basic program requirements. This form will help you determine if you meet some of our basic program requirements - based on self-submitted information. This is not an application. We will utilize the contact information -particularly email - you input to follow up with you about opportunities for our services. Please make sure to check your junk/spam folder for email follow ups in the case your email provider pre-screens emails.

I Agree

Name(Required)

First Last

How did you find out about this homeownership opportunity?(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Job Title(Required)

Employer/Company Name(Required)

Start Date(Required)

Is there a co-applicant?(Required)

Yes

Name(Required)

Co-applicant

First Last

Address(Required)

Co-applicant

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email (Co-applicant)(Required)

Co-applicant

Phone(Required)

Co-applicant

Number of People Living In Your Household(Required)

Including Applicant(s)

Job Title(Required)

Co-applicant

Employer/Company Name(Required)

Co-applicant

Start Date(Required)

Co-applicant

Giving Opportunities

Other Ways to Give

Ways You Can Help

Other Ways to Help

Get Started

More Information

Organization

Our Work

Stay Informed

Habitat Careers

This may affect your eligibility

This may affect your eligibility

Total Household Monthly Income

Giving Opportunities

Other Ways to Give

Ways You Can Help

Other Ways to Help

Get Started

More Information

Organization

Our Work

Stay Informed

Habitat Careers

This may affect your eligibility

This may affect your eligibility

Total Household Monthly Income

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