Name *

First Name

Last Name

I am a U.S. Citizen or Permanent Resident (green card holder?) *

Yes

No

I have owned a home in the last three years? *

Yes, I have

No, I have not

I have had a steady/consistent source of income for the last two years in the United States? *

Yes, I have

No, I have not

Referring to the Things you should know before applying video, the presenter stated that an applicant can request where they want to live. *

(More income may be necessary depending upon the number of people who will be living in the home)

True

False

I understand that there is a minimum and maximum income for the number of people that will be living in the home? *

Yes

No

I have been at my current job for at least six months? *

(One year consecutive employment required; if self-employed, I filed this income on my last tax return)

Yes

No

Habitat for Humanity of Cleveland has three selection criteria for our homebuyer program. Which answer below correctly states those three selection criteria? *

a. Need, Want, Deserve

b. Partner, Volunteer, Cost

c. Need, Partner, Pay

d. Build, Educate, Affordable

I have not foreclosed on a home in the past three years and never foreclosed on a home with Habitat for Humanity. *

Yes

No

If I am married, my spouse is applying with me OR, if separated, my spouse is willing and able to provide information about his/her income, submit to a background check, and to be physically present in Cleveland, TN., to sign certain documents. *

Yes

No

The following link will take you to our policy on our background requirements. Once you have clicked the link you will return to this page and answer your last question. (https://habitatofcleveland.org/backgroundrequirements) If I or anyone in my household has had any arrests or convictions. I have reviewed pages 16-19 of the HFHOC’s background requirements in the homeowner selection policy and feel that I/We meet them? *

Yes

No