Homeowner Program Interest Form
Please review the How to Qualify page to ensure you meet our guidelines before submitting this form to Habitat for Humanity. Please note that this interest form is NOT an application for a Habitat home, but provides us with your contact information so that we can notify you when we have our next round of homeowner information sessions. You can only receive an application after attending one of these sessions.




Mary Bounvassana lives with her two children Jeremias, 12, and Alicia, 10. Mary is a single mom and works as a bank teller. They live in a two-bedroom apartment that is poorly insulated, with an extensive mold problem which has caused both of her children asthma. The bathroom sink, bathtub, and toilet all get clogged due to poor plumbing. Mary and her children would love to move into a new house where they could all have separate rooms and a safe area to play.
