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Home Ownership Application

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Please submit the following online application. If you have any questions, please contact Carolyn Edwards, Family Services Coordinator at 904-282-7590 ext. 204.


1. * Last Name:
2. * First Name:
3. MIddle Initial:
4. * Street Address (including apt # or other):
5. * City:
6. * Zip Code:
7. * Home Phone:
8. Cell Phone:
9. * Work Phone:
10. * What is your email address?
11. * Are you a resident of Clay County?
Yes
No
12. * How long?
13. * Marital Status
Single
Married
Divorced
Widow
Widower
14. What is your spouse’s name?
15. Does your spouse work?
Yes
No
16. * Number of Dependents
17. * Who is your employer?
18. * How long have you been employed by them?
19. * Are you disabled?
Yes
No
20. * What is your monthly income?
21. What is your spouse’s income?
22. * Do you receive Social Security income?
Yes
No
23. * Do you receive food stamps?
Yes
No
24. If you receive food stamps, what is the amount?
25. * Do you receive child support?
Yes
No
26. If you receive child support, what is the amount?
27. * Are you a legal resident of the U.S.?
Yes
No
28. * Have you ever been convicted of a felony?
Yes
No
29. * Have you ever filed for bankruptcy?
Yes
No
30. * Have you ever had a home foreclosed?
Yes
No
31. * Describe your current living situation.
32. * What does your credit look like? Do you have any collections, charge-offs, judgments.
33. * What is the best time to contact you?


Proud To Be




Thank you to our volunteers!

Thank you CNATTU from NAS Jacksonville! We appreciate all the hard work that you have dedicated to CCHH.

Charity Joins Top Home Builders' Ranks
Habitat for Humanity Keeps Putting Up Houses as Nation's Biggest Companies Cut Back; 'A Lot Less Tied to the Market'
http://online.wsj.com/...2116636792.html

We are gearing up to build with another 9 families! 
Be sure to contact our Volunteer Coordinator to determine where we're building - we are just finishing work on a home in Clay Hill, and will be in Green Cove Springs next! Did You Know? For every one of the 8 CCHH homes built in 2009, 44 Clay County families applied?

Florida Habitat affiliates have built 10,000 houses to date!
Florida Habitat affiliates outpace the rest of the country in construction by 30% . . . making us the biggest contributor to the tithe, so we build more homes internationally as well!

Florida has the most ReStores in the U.S. Don't know what a ReStore is? Check out our ReStore page!