Apply for the Program

Homeownership Questionnaire

In order to serve you, you must first fill out this Homeownership Questionnaire in order to see if you meet the qualifications for our program. 

Your Name (required):

Your Gender (required):

Co-Applicant Name (required):

Co-Applicant Gender (required):

Race or Nationality: (required)

Your Street Address (required):

City, State, Zip Code (required):

Your Mailing Address (if different):

City, State, Zip Code (if different):

Telephone Number (required):

Your E-mail Address (required):

Number of Adults in the Household (required):

Number of Children in the Household (required):

Gross Monthly Income (*before taxes) (required):

How long at this job? (required)

List any Additional Income (Disability, Social Security, etc.) (required):

Are you willing to attend homeownership classes? (required)
 Yes No

Are you willing to complete 300 - 400 sweat equity hours? (required)
 Yes No