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Group Praying

Family Questionnaire

We're excited your taking the first step to make a difference in your community. Please provide us with the following information.

Personal Information
Family Members
Household Income
Other Details

This questionnaire is not an application for housing with Habitat for Humanity. The information you provide will be kept confidential. You may request a complete application at any time. You will be asked to provide documentation of your income, expenses and other information at the time your application is submitted. The purpose of this questionnaire is to assist you in determining if you may meet Habitat's housing program guidelines.

By clicking Submit, you understand that by filing this questionnaire, you are authorizing Habitat for Humanity of San Joaquin County to evaluate your actual need for a Habitat home, your ability to repay the no-interest loan and other expenses of homeownership and your willingness to be a partner family.