Pre- Qualification Survey

Here is a quick way to learn more about owning your own Habitat home. Complete this form & someone from Habitat will call you. If you're still interested & meet the basic requirements, you will be invited to fill out an official application

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.

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.

I am willing to partner with Habitat for Humanity 

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© 2020 Alliance Area Habitat for Humanity.

PO Box 2655 - Alliance, OH 44601 (330) 823-2448