eligibility questionnaire

All fields are required

Applicant's Information

(Please check one)

Check all that apply. I am a person who:

Check all that apply. The Co-applicant and/or another live-in family member is 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.

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

All applicants make all payments owing on time and have good credit history

All applicants have never declared bankruptcy

One of the applicants has declared bankruptcy in the past and the bankruptcy has been discharged

One of the applicants has declared bankruptcy in the past and the bankruptcy is active or hasn't been discharged.

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?

By submitting this completed eligibility questionnaire you consent to Habitat for Humanity Ontario Gateway North initiating a credit check and a criminal background check for all applicants.

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