Habitat for Humanity Capital Region - Ramp Application
Thank you for your interest in the Accessibility/Ramp Program at Habitat Capital Region! Please keep in mind that this application does not guarantee services but is the first step in the process to receive services.
Email address *
Today's Date *
MM
/
DD
/
YYYY
What county is the ramp needed? *
Habitat for Humanity Capital Region serves Ingham & Eaton Counties. If you live outside of our service area, please visit https://www.habitat.org/ to find your local Habitat affiliate.
Next
Never submit passwords through Google Forms.
This form was created inside of Habitat for Humanity Capital Region. Report Abuse