Applicant Information

1, 2. Applicant Info

3. Willingness To Partner

4. Present Housing

5. Property Info

6. Employment Info

7. Monthly Income

8. Down Payment & Closing Cost

9. Assets

10. Debt

11. Declarations

12. Signature

13. Government Monitoring

Equal Credit Opportunity Act Notice

Dear Applicant: Please complete this application to determine if you qualify for the Habitat for Humanity homeownership program. Please fill out the application as completely and accurately as possible. All information you include on this application will be kept confidential in accordance with the Gramm-Leach-Bliley Act. You will receive an email after the current page with a link to come back if you need more time to complete the application. *All fields are mandatory

Applicant Information

First Name *

Middle Name

Last Name *

Prefix

SSN *

Gender

Suffix

DOB

Age

Phone

Email *

Marital Status

Present Address

Address

Address Line 2

City

State

Zip

Occupy Type

Number of Years

Number of Months

Co-applicant Information

Co-applicant exists