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Critical Home Repair

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Applicant Information

Applicant Marital Status

Co-Applicant Information

Co-Applicant Marital Status

Household Information

I  will complete required forms, meet with Habitat reps as requested, complete sweat equity hours if selected for partnership, be willing to live in area where Habitat is building, participate in Habitat education programs.

I am willing to partner with Habitat for Humanity 

Is your current home unsatisfactory for your family?


This means your current home meets one or more of the following criteria: unsafe, dangerous, overcrowded, you pay too much for utilities, your housing expenses are to high.

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