Program Interest Form

Signing the Mortgage 2 Please review the How to Qualify page to see if you meet Habitat’s Homeownership Program requirements before submitting this form.

Please note that this Interest Form is NOT an application for the Homeownership Program. This form provides us with your contact information so that we can let you know when our next application process begins or meeting happens.

Program Interest Form

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Home Phone
Cell Phone*
Parish of Interest
Were you affected by a recent hurricane?
- Yes
- No
How did you hear about Habitat's Homeownership Program?

Lafayette Habitat for Humanity is pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, national origin, age, marital status, sexual orientation or sources of income.

Program Interest Form

Program Interest Form

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