Pre-Qualification Questionnaire
This is a pre-screening questionnaire, not a final application for homeownership. This form is to help determine if the Habitat for Humanity Program may be right for your household. It is the first step in the process of applying for a Habitat home.

PLEASE NOTE THAT WE ARE RECRUITING A FAMILY FOR THE PROPERTY LISTED BELOW.  THIS IS THE ONLY PROPERTY WE HAVE AVAILABLE FOR 2015-2016:

Magnolia Place-10 townhome units in Longwood (ONLY ONE AVAILABLE)
              (located behind the new Sun Rail station at SR 434 and SR 427)
              (new construction)

IF YOU ARE NOT INTERESTED IN THIS PROPERTY, DO NOT SUBMIT A PRE-QUALIFICATION QUESTIONNAIRE.
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Applicant's Name *
Co-applicant's Name
Street Address *
City *
State *
Zip Code *
Phone Number *
(###) ###-####
Email *
Marital Status *
*Applicants with Married status must apply jointly
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