eligibility questionnaire

All fields are required

Please check one:

Check all that apply. I am a person who:

My current home is:

If 'unsuitable', please check all that apply:

Please Check:

I am committed to keeping a clean, organized, well-maintained home and I know this is an important aspect of being a good neighbour.

I am willing to be an active participant in building a better home for my family and other families.

I am willing to support fundraising activities necessary to build a Habitat home.

I am willing to allow my family's story to be shared in order to raise awareness of the need for more safe, decent, and affordable housing.

I am willing and able to make affordable rent or mortgage payments.

I am willing and able to take on the responsibility of maintaining a home.

I am willing and able to be a good neighbour.

Check all that apply. The co-applicant is a person who:

Family Members
All fields in this section must be completed. Enter zero if it does not apply.

Do You Expect a change in your Family size in the future? (eg. more children, children moving out, etc.)

Total Gross Annual Income
All fields in this section must be completed. Enter Zero if it does not apply. Your Total Gross Annual Income should include income form, your most recent Notice of Assessment from Canada Revenue, Canada Child Benefit, GST rebate and any other household income.

Please Check:

I make all payments owing on time and I have a good credit history

I understand that the homes built by Habitat for Humanity Ontario Gateway North are often constructed in part or in full by volunteers in the community.

Anything else that would like us to know?

Thank you for your interest in a Habitat home. We will contact you within one week to advise you of the next steps.