Pre-Qualification Form Thank you for your interest in becoming a Habitat Homeowner! Please begin by answering the following questions. If you meet the criteria, you’ll be asked to continue the application process. Have you lived or worked in Huntington County for the last twelve months?* Yes No Do you currently own a home?* Yes No Have you had a foreclosure in the past two years?* Yes No Do you have a bankruptcy that has not been discharged/dismissed for at least two years?* Yes No Are you willing to contribute up to 250 volunteer hours by attending homeownership classes, working at the Habitat ReStore, and construction site?* Yes No Are you willing to save $1,000 toward the purchase of your home?* Yes No How many total members living in the household?*Please enter a number from 1 to 20.What is your total household income each MONTH before taxes? (not your annual income but your MONTHLY income)*Please enter a number greater than or equal to 1.Monthly income before taxes would include all employment income, SSI, and child support but would not include housing vouchers or SNAP benefits.What is your name?* What is your address?* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What is your phone number?*What is your email?* HiddenResultsThis field will be hidden from public view, but will display the results of the quiz.HiddenUser MessageThis field will be hidden from public view, but will display the results of the quiz.After you click submit, you will receive an email with further instructions. The email will be sent from info@habitatgfw.com. Please also check your Junk or Spam folder and contact us if you do not receive the email within 30 minutes. CommentsThis field is for validation purposes and should be left unchanged. Δ Edit form js... Okay
