Homeownership Interest Form
Please fill out this form if you are interested in learning more about the Habitat Homeownership program; the Pathways to Housing program; and/or homeownership.
Contact Information
Please provide your contact information.
What is your name? *
Your answer
What is your address? *
Your answer
What is the city/county? (ex. Charlottesville) *
Your answer
What is the state? *
What is the zip code? *
Your answer
What is your phone number? *
Your answer
What is your email address? Please read our Email Disclosure here: https://docs.google.com/document/d/1z3-542Pxtu4_GvOdFCgxdZwqcDWkNXanMRERDwx_VNk/edit?usp=sharing
Your answer
What is your preferred method of contact? *
Which language(s) is/are spoken in your home? *
Your answer
Do you need an interpreter? *
Are you self-employed? (Uber/Lyft, 1099 worker) *
Level of Support
We would like to meet you where you are at and provide the right amount of information and support as you work towards homeownership. Please indicate how you would like for us to communicate with you.
I would like updates/reminders about the application process. *
I would like to receive occasional financial tips. *
I would like to receive notices of upcoming financial workshops. *
I would like for Habitat to send me the application when it is available... *
Which financial workshops would be of interest to you?
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