Want to see if you income qualify for our homeownership or rental program?  If so, simply fill out the information below and submit.  A staff representative will contact you shortly to let you know if we can help!

What service are you interested in? Homeownership      Rental         

What is your current rent payment? $ 

           Are utilities included? Yes          No       

Household Size and Income Limit Information: (must select one option and then enter total income for all persons in household in box next to it)

            Total Annual Income = any wages, alimony, child support, DSS, Section 8, SSI/SSD, unemployment, rent) (multiply x 12 if know only monthly amounts)

 1 person                                              

 2 people                                                   

3 people                                                  

4 people                                                    

 5 people                 

 6 people                 

 7  people                

  8+ people              

 Please check all that apply:

I/We have:     been evicted before        convicted for a felony      filed Ch.7 Bankruptcy      filed Ch.11 Bankruptcy

                     have outstanding tax liens       owe back child support    

The information listed below is required in order for our staff to contact you on your ability to participate in our program:

Please provide your full name:

Phone Number: (ex:555-5555)

Email Address

   All information provided is strictly confidential and is will be used for program qualification purposes only.

Please contact our office at 372-7616 to prequalify for any Grants. You cannot prequalify for grants online.