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Almost Home Eligibility Assessment

Please note: These are the requirements for our Almost Home Housing Counseling Program.

This is NOT a loan application or a guarantee of a loan for a Habitat for Humanity of Omaha house.

Please allow 30-45 days to evaluate your assessment questionnaire. We will contact you via email or phone with additional information after we have assessed your completed questionnaire.

First Name

Last Name

Street

City

Zip Code

State

Phone Number

Email Address

Date of birth (mm/dd/yyyy)

What is your gender identity?

Are you currently, or have you ever been a member of the U.S. Armed Forces?

What is your marital status?

How many adults (18 and over) live in your household?

How many children (under 18) live in your household?

Will you be applying by yourself or with a co-applicant?

Co-Applicant Information

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Phone Number

Co-Applicant Email Address

Co-Applicant date of birth (mm/dd/yyyy)

Co-Applicant gender identity

Co-Applicant: Are you currently, or have ever been a member of the U.S. Armed Forces?

Income Information

*Proof of income will be required

What is the combined gross monthly income for your household? (The total amount you earn before taxes and deductions)

Enter your household's individual earner information as applicable.

Individual 1 (required)

Employment type:

Years at current employment

Who is your current employer?

Co-Applicant (if applicable)

Employment type:

Years at current employment

Who is your current employer?

Additional Information

Are you a first-time homebuyer or has it been at least 3 years since you've last owned a home?

YesNo

Have you ever filed for bankruptcy before?

YesNo

If you answered "Yes", please enter the year you filed for bankruptcy

Have you lived in the Omaha Metro area for the past 12 months?

Would you feel comfortable communicating with Habitat Omaha staff in English?

What is your preferred language?

Are you a U.S. Citizen or Permanent Resident (Green Card Holder)?

YesNo

Which race do you identify as?

Which ethnicity do you identify as?

Are you an immigrant to the U.S.?

If you are an immigrant to the U.S.

How long have you lived in the U.S.?

Country of origin (Nationality)

How did you find out about Habitat Omaha's Almost Home Counseling Program?

I would like to learn more about what it takes to become a homeowner. I would like to receive information and resources about homeownership.

Yes, please send me more information

I herby agree that all of the information I have provided is correct and accurate to the full extent of my knowledge. I understand that this questionnaire is not an application or a guarantee for homeownership through Habitat Omaha. I understand that the information provided is an eligibility assessment for the Habitat for Humanity of Omaha's Almost Home counseling program. I acknowledge and give permission to be corresponded with via email or through phone communication from the staff at Habitat Omaha.

I agree and accept the terms and conditions of this questionnaire

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Contact Information