Homeownership Inquiry Form

The information on this sheet will be used to identify your interest in, and qualification for, Habitat’s Homeownership Program, as well as help Habitat identify the need for housing in Bucks County. All personal information such as name, address and phone number will be kept confidential unless otherwise requested.*

*Please Note: information regarding a person’s age, gender, race and familial status is being collected for federal monitoring purposes. Providing this information is optional.

  • Your help in building your home and the homes of others is called “sweat equity,” and may include clearing the lot, painting, helping with construction, working in the Habitat office or other approved activities. You will be required to complete the sweat equity hours that apply to your application (minimum of 200 hours).

  • Prospective Applicant Information

  • Prospective Co-Applicant Information

  • Additional Household Members

  • Please list the age, gender, race and the relationship to the applicant of each person who will be living with you if you are accepted into the program (do not list applicant or co-applicant).
  • BirthdateGenderRaceRelationship to the Applicant 
    Add a new row
    (check all that apply)
  • Add a new row

We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, or national origin.