Habitat For Humanity - Detroit | Home Ownership

Homeowner Pre-Screen Application

This is a Pre-Screening Application, NOT a Final Application.

Instructions: All required information must be provided or the application will not be processed. A response can be expected within 30 days upon receipt of your application.

I prefer to download this form and mail or fax it.

Application Information

*Denotes required field.

* First Name:
* Last Name:

Co-Applicant:

First Name:
Last Name:

Number of Children:

* Adults:

* Address:
* City:
* State:
* Zip:
* Primary Phone:
Cell Phone:
E-mail:
Referred By:

Income Information:

*Must earn at least $10.60 per hour to qualify. Hourly rate can be less if total combined income adds up to $22,000 per year. Please fill out the form below to calculate your monthly income.

Type of Income	Monthly Income	Yearly Income
Employment/Job
Section 8
Child Support
FIA
Social Security
Disability
Other

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Habitat for Humanity Detroit complies with the U.S. policy for the achievement of equal housing opportunity throughout the nation. We support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, national origin, age, marital status, sexual orientation, or sources of income.