Housing Interest Form

Please review the Applying to Habitat page to ensure you meet our guidelines before submitting this form to HFHSoCo. Please note that this Interest Form is NOT an application for a Habitat home, but provides us with your contact information so that we can notify you about our next Home Interest Meeting during which you will receive an application.

Your First Name (required)

Your Last Name (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Your Email address

Your Home Phone

Your Cell Phone

Your Work Phone

Number of Family Members (required)

Number of Adults (required)

Number of Boys (children)

Number of Girls (children)