Homeownership Questionnaire

If you are interested in owning a Warren County, VA Habitat for Humanity (WCHFH) home, please complete the following questions. All information gathered by WCHFH is confidential. This is a questionnaire, not a final application. This form is to help us determine if the program is right for you. WCHFH does not sell or share your information with any third party or use the information you provide for any other purpose. WCHFH makes application cycle announcements and circulates details for the homeownership program as they become available; WCHFH will use the email address and telephone number that you provide herein to disseminate that information.

COMPLETING THIS QUESTIONNAIRE DOES NOT GUARANTEE THAT YOU WILL BE SELECTED FOR A HABITAT HOME.

Fields marked with * are required

Anyone under 18 years of age
(i.e $21,000.00)
Enter the amount in US Dollars that you pay each month for rent.
(i.e. Sweat Equity, Re-Payment Commitment)