Habitat for Humanity of Wood County Ohio : What We Do : Homeownership Pre-Application Form

Please provide the following information:

The housing I live in is

Overcrowded
In a dangerous neighborhood
Poorly maintained (substandard)
A temporary housing situation
Other

If other, please explain

What is your estimated Household income? (Required)

(Monthly income includes jobs, social security, disability, food stamps, and child support, if reliable).

Have you had a bankruptcy?

Are you willing to partner with Habitat by completing 250 “Sweat Equity” hours (volunteer hours) per applicant? Sweat equity is completed by attending mandatory monthly Homeowner workshops, completing Financial Peace University, volunteering with us in the office and building your Habitat home.

Have you ever been charged with or convicted of a crime other than a minor vehicle violation?

We do our best to match the area you wish to live in with what we have available, but we cannot guarantee a match. Please indicate your top three areas in Wood County in which you would be willing to purchase a Habitat home.

List three areas of Wood County (Required)

Highest Level of Education:

Applicant Education Level (Required)

Co-Applicant Education Level

Are you currently enlisted, a veteran or a spouse of a veteran or military personnel?

Is Applicant a U.S. citizen or permanent resident?

If no please explain

Is Co-Applicant a U.S. citizen or permanent resident?

If no please explain

Please provide the following information for all the people who will be living in the home including you and co-applicant (if applicable).

Name, Date of Birth and Relationship to Applicant

Please list all sources of income received on a monthly basis and send in required proof of income. We cannot review your application without these documents. Monthly income includes jobs, social security, disability, food stamps, and child support (if reliable).

First Source of Income

Gross Amount (before taxes) for first source of income

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Second Source of Income

Gross Amount (before taxes) for Second Source of Income

Third Source of Income

Gross Amount (before taxes) for Third Source of Income

Fourth Source of Income

Gross Amount (before taxes) for Fourth Source of Income

Applicant Name

First Name

Last Name