Neighborhood Revitalization Pre-Qualification Form
This is a pre-screening questionnaire, not a final application for Home Repair.
This form is to help determine if the Habitat for Humanity program might be right for your household. It is one step in the process of applying for a home repair.
Equal Housing Opportunity: We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status or national origin.