Number of Adults *

City, State, Zipcode

Comments

Home Phone # *

Employer Name (if applicable)

Number of Children *

Are you interested in becoming a Habitat Homeowner?

Address *

SSN - social security # (required to run a background check and request a credit report)

Cell Phone # *

Spouse - Co-Applicant

Email Address *

City, State, Zipcode *

Do you have a legitimate housing need? (My current residence meets the following living conditions - Check all that apply) *

Section 8 / Public Housing

High Crime / Traffic / Drugs

Overcrowding

Poorly Maintained / Health Hazards

Homelessness

Rent

Mobile Home

Inefficient

Work Phone # *

Home Phone #

Have you filed for bankruptcy? (It may take long to become eligible if response is Yes) *

Yes

If Yes, please provide details

Is your credit good or repairable? *

Yes

Do you have any liens or judgements against you? *

Yes

Name of Applicant *

Cell Phone #

Do you have any bills turned over to a collection agency? *

Yes

Name of Applicant

Race / National Origin *

Email Address

Address

Work Phone #

Date of Birth

Primary Applicant Name *

Are you willing to complete 250 "sweat equity" hours (per adult)? *

Yes

Date of Birth *

If Yes, please provide details

My family's MONTHLY gross income (please include Social Security, Disability, Child Support, Alimony, Wages & other income) *

SSN - social security # - (required to run a background check and request a credit report) *

Number in Household *

Have you ever applied for a home loan? *

Yes

Can you save $1,000 for a down payment within 12 months? *

Yes

Jubilee Habitat for Humanity

P.O. Box 414

Jacksonville, IL 62651

phone: 217.602.0162

TERMS & CONDITIONS: I / we understand that a workable credit history is one of the requirements for being approved to buy a house with Jubilee Habitat for Humanity - Morgan County (JHFHMG). JHFHMC will refer me to partner community organizations for Consumer Credit Counseling & other financial counseling. I hereby give my explicit permission for JHFHMC to obtain a credit report and provide it to the partner community organization for the express purpose of evaulating my creditworthiness and ability to pay for a Habitat home. *

I agree

Jubilee Habitat for Humanity

I hereby give my explicit permission for JHFHMC to condut a criminal background check and a sexual offender registry check. *

I agree

Pre-Application Screening