Home Repair- Preliminary Inquiry
To get more information on the home repair program and to start the application process please fill out the form below. You will receive a phone call once the preliminary inquiry is submitted.
Name *
First and last name of the title holder to the home
Your answer
Email *
Your answer
Phone number *
Your answer
Address *
Street, City, State, Zip. ***Habitat for Humanity of Southern Santa Barbara County only serves residents living between Gaviota and Carpinteria, California.
Your answer
Do you own or rent your home? *
Are you a lawful permanent US resident? *
Have you lived in Southern Santa Barbara County for the past 12 months? *
Is there a second title holder on the home? *
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This form was created inside of Habitat for Humanity of Southern Santa Barbara County.