Habitat for Humanity NS: Expression of Interest in becoming a Habitat Homeowner
PLEASE NOTE: Submissions via this form are reviewed quarterly. If you are eligible to submit an application, you will be contacted and provided with a full application.
Name *
Email *
Address *
Phone number you can be reached at *
Is there a co-applicant who will be living with you in the home (a spouse, partner, or other adult)? *
If Yes to the above question, how much of your monthly household income is your co-applicant responsible for?
What is your total monthly household income from all sources (if there are co-applicants include their income as well)? *
How many kids under 18 would be living in the home?
What is your total household debt? (Includes loans and credit cards, anything you owe. If there is a co-applicant, include their debt as well.) *
Of your total monthly income, how much is from Canada Child Tax Credit? *
Of your total monthly income, how much is from child or spousal support?
Of your total monthly income, how much is from disability, pension, or insurance payments?
Why do you want to partner with Habitat for Humanity Nova Scotia? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Habitat for Humanity Nova Scotia. - Terms of Service