Repairs Pre-Application

PLEASE NOTE: This is a preliminary questionnaire and NOT an application.

If you meet pre-qualifications, you will receive an email with instructions on next steps to complete an actual application.
Name*

First NameLast Name
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
What is your preferred language?*

EnglishSpanishFrenchOther
Do you live in one of the areas highlighted on our map? Our service areas include Ada and Canyon Counties. The cities covered are: Boise, Caldwell, Eagle, Garden City, Hidden Springs, Kuna, Meridian, Middleton, Nampa, and Star. Check the map below to see if your location is included.*

YesNo
Do you own and live in the home in the highlighted area?*

YesNo
Do you own a single-family home or a townhome?*

YesNo
Are you current on ALL mortgage payments and property taxes?*

YesNo
Do you currently have an active homeowner’s insurance policy?*

YesNo
The income guidelines for Habitat for Humanity are defined by the U.S. Department of Housing and Urban Development (HUD) and include various forms of income, such as employment, public assistance, Social Security, disability, child support, and more. Our service areas in Canyon County and Ada County have different HUD guidelines, and your eligibility depends on which area you live in. The income range is between 30% and 80% of the Area Median Income (AMI).

For more information and to view the updated HUD Income Guidelines for each service area, please visit: HUD Income Guidelines.
Is your yearly household income within your area's income guidelines?

YesNo
Which tier do the repairs you need fall into? We prioritize providing essential repairs to ensure safe and sustainable living conditions, particularly for older adults, enabling them to age in place comfortably and securely. Please select an option below:

Tier 1: Aging in Place. Examples: Grab bars, handrails, smoke and CO2 alarms, minor lighting improvements, lever-style doorknobs, handheld adjustable shower heads, sliding bathtub seats, toilet seat lifts, etc.Tier 2: Accessibility Modifications. Examples: Wheelchair ramps, door repair/replacements, weatherization, etc.Tier 3: Extra (Fundraiser Specific). Examples: Roof repair/replacement, flood mitigation, bathroom retrofits, flooring repairs, etc.
Should be Empty:

PLEASE NOTE: This is a preliminary questionnaire and NOT an application.