Home Application - English - Central Oklahoma Habitat for HumanityCentral Oklahoma Habitat for Humanity

Minimum Required Income Qualifications
Please review the income qualification chart, check boxes below and enter your full name to sign. This information will be sent along with your completed application.
The above information reflects the minimum income required with ZERO LONG-TERM DEBTS (i.e. car payment, credit card, student loans, etc.) to qualify for the indicated area. If your income does not meet the minimum for the area you prefer, please submit an application when required minimum income is achieved. We will pull your credit report.
Check all that apply.
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- I/We are willing to work 300 hours as a volunteer on Habitat projects.
- I/We do not have tax liens, unpaid judgments or collections, repossessions, or unpaid back child support payments on my/our credit report.
- I/We have not filed for bankruptcy in the past two years.
- /We have at least one year with current employer unless disabled or retired.
- I/We have stable current rental and utility history in my/our name for at least one year.
- I/We will provide documentation of legal status in the United States.
- I/We do not currently own a home.
Please be sure you meet all of the above. Please call the Central Oklahoma Habitat for Humanity office if you have any questions. You may return your completed application by mail or fax. Approximately 3-4 weeks after we receive your application, you will receive a reply by mail advising you of the next step in the process or, if your application is denied, you will be advised of the reasons behind our determination. Approximately 2-3 months are required to complete the approval process. If you are approved, an additional 12 months (or more) will be required to complete the program.
Name of Signing Applicant
First Last
Name of Signing Co-Applicant
First Last

Applicant Employment History (Two Years)
Current Employer
Job Title
Date Hired
MM
DD
YYYY
Supervisor Name
First Last
Office Phone
Monthly Income Amount Before Taxes
Former Employer
Job Title
Supervisor Name
First Last
Employment Term
Start Date (mm/yyyy) End Date (mm/yyyy)
Office Phone
Monthly Income Amount Before Taxes
Why did you leave?
Former Employer
Job Title
Office Phone
Supervisor Name
First Last
Employment Term
Start Date (mm/yyyy) End Date (mm/yyyy)
Office Phone
Monthly Income Amount Before Taxes
Why did you leave?
Please explain any gaps in/absence of employment history.

Co-Applicant Employment History (Two Years)
Current Employer
Job Title
Date Hired
MM
DD
YYYY
Supervisor Name
First Last
Office Phone
Monthly Income Amount Before Taxes
Former Employer
Job Title
Office Phone
Supervisor Name
First Last
Employment Term
Start Date (mm/yyyy) End Date (mm/yyyy)
Office Phone
Monthly Income Amount Before Taxes
Why did you leave?
Former Employer
Job Title
Office Phone
Supervisor Name
First Last
Employment Term
Start Date (mm/yyyy) End Date (mm/yyyy)
Office Phone
Monthly Income Amount Before Taxes
Why did you leave?
Please explain any gaps in/absence of employment history.

Applicant Agreement
Please read carefully and enter your full name in the space provided below to sign this application and to submit for consideration.
I/we do so, understanding the nature of Central Oklahoma Habitat for Humanity’s mission as a community project, and if approved:
- I/we agree to help others in the Habitat program obtain decent, affordable housing.
- I/we agree to help build/renovate my/our new home as required.
- I/we agree to make regular monthly mortgage payments to reimburse Central Oklahoma Habitat for Humanity for the cost of my/our home.
- I/we understand this is an interest free mortgage and that Central Oklahoma Habitat for Humanity will make no profit on the cost of my/our home.
- I/we agree to maintain and insure my/our home so long as Central Oklahoma Habitat for Humanity continues to hold the first mortgage on my/our home.
- When I/we participate in any way in Habitat projects, I/we become a partner with Central Oklahoma Habitat for Humanity and am/are responsible to carry out its ideals of partnership through giving my time, abilities and money as much as I/we am/are able. I/we understand that Central Oklahoma Habitat for Humanity’s Board of Directors and Family Selection Committee are comprised of individuals who wholeheartedly agree with these ideals.
- I/we certify that all information given by me/us during the application process is/will be true and correct to the best of my/our knowledge. I/we understand that giving false or misleading information during this process will be grounds for rejection of my/our application.
- I/we also understand that the completion of this application and/or any initial approval or other act by Central Oklahoma Habitat for Humanity or it’s representative(s) prior to final closing and conveyance of a home in no way guarantees that I/we will receive housing through Central Oklahoma Habitat for Humanity.
- I/we grant permission to Central Oklahoma Habitat for Humanity to check any and all references and to take any and all actions reasonably necessary, including checking social media, to substantiate the information contained in this application or otherwise establish my/our eligibility for Habitat homeownership, including without limitation, contacting or otherwise attempting to confirm my/our (1) employment status and history, (2) credit worthiness, including investigations through a credit reporting service, (3) immigration status, (4) military service, (5) family composition, marital status, and other related issues, (6) police records and other information relative to criminal charges and/or convictions, (7) personal references, including all parties listed in this application and/or any other parties which Central Oklahoma Habitat for Humanity desires to contact, and (8) any additional information Central Oklahoma Habitat for Humanity deems necessary to evaluate this application. I/we understand that Central Oklahoma Habitat for Humanity may reject this application based upon the results of these inquiries.
- I/we understand that Central Oklahoma Habitat for Humanity is a nonprofit corporation with limited resources and cannot afford to provide housing for each and every applicant. Consequently, I/we agree that Central Oklahoma Habitat for Humanity, its staff, whether voluntary or compensated, and its Board of Directors will not be liable in any way or otherwise be held responsible by me/us or anyone acting in my/our behalf in connection with my/our application Habitat housing or any claims of any nature associated herewith.
Name of Signing Applicant
First Last
Name of Signing Co-Applicant
First Last
Name of Signing Household Member Age 18 or Older
First Last
Name of Signing Household Member Age 18 or Older
First Last
Central Oklahoma Habitat for Humanity is an equal opportunity housing provider. All applicants will receive consideration for housing without regard to race, color, marital status, age, national origin, religion, sex, familial status, receipt of public assistance funds, exercise of consumer credit protection rights, or handicap.

Name	Social Security Number	Date of Birth	Age	Sex	Relationship

New Home Application

Step 1 of 7

Minimum Required Income Qualifications

Applicant Information

Co-Applicant Information

Household Member(s) Information (If Applicable)

Contact Information

Current Rental History

Previous Rental History

Previous Homeownership/Bankruptcy (If Applicable)

Applicant Employment History (Two Years)

Co-Applicant Employment History (Two Years)

Household Income

Household Expenses

Need for Housing

Miscellaneous

Applicant Agreement

Electricity	Water	Gas

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