Homeowner Services - Application Questionnaire

First Name * Required

Last Name * Required

Preferred Phone Number * Required

Email * Required

Please choose a password * Required Show Password

Confirm password

Password must contain the following:
A lowercase letter
A capital (uppercase) letter
A number
Minimum 6 characters
Both passwords should match

Are you willing to partner with Habitat for Humanity by completing 500 hours of volunteer time? * Required

Do you have little or no debt and a good credit history? * Required

Are you a Canadian Citizen or Permanent Resident of Canada? * Required

I am interested in homeownership in the following communities: * Required

If you were referred to Habitat by a specific individual, company, or organization, please enter the name in full:

I am interested in the Black Families Initiative

I am interested in the Metis Family Program

Is there anything else that you would like to tell us?