Preservation and Repair Program: Prescreen Questionnaire

This is a pre-screening questionnaire, not a final application for the program. This form is to help determine if the Habitat for Humanity program might be right for your household. It is one step in the process of applying.

Equal Housing Opportunity: We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and 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 or national origin.