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Preliminary Homeowner Application

Local families in need of decent shelter can apply to Hanover Habitat for Humanity.  Our selection committee chooses homeowners based on their level of need, their willingness to become partners in the program and their ability to repay the no-interest loan.  We follow a nondiscriminatory policy of family selection.  It is illegal to discriminate against any person because of race, color, religion, disability, family status, or national origin.

Name:           Home phone: 

Address:       Work phone

City, State, Zip     Email:              

Are you currently a resident of Hanover County?      For how long? 

Please provide the names and ages of all who will be living with you in your new Habitat home:

                            Name                                                                Age

                       

                       

                       

                       

                       

Total Monthly Household Income    $

Are you willing to partner with Hanover Habitat by putting in 350 hours or more of volunteer work on your new home and other projects?  

Are you currently living in inadequate shelter?  

If yes, please describe

What is the best time to reach you?  

 

   

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