NEW Homeowner Application

FINANCIALS
Add all current employment. Use 'add row' button as the bottom to add more than one current position*

Company Job Title

Employment
How many years have you worked with your current employer? (if multiple employers, please answer for the one you have been with the longest)
Total Annual Income Range*
Total Annual Income for all employment:*
Credit Score Range*
What is your exact Credit Score:*
Have you ever had a bankruptcy for any reason?*

YesNo
Do you currently use a budget?*

Yes and it keeps me on track!Yes, but I have trouble sticking to itNot yet
Do you have any money saved? If so, in what range?*
Total Money Saved*

	Company	Job Title
Employment

RENTAL / HOUSING HISTORY
What is your current monthly rental payment with utilities?*
How many years renting? *
Tell us about your current housing situation.
When is your current lease up?*
Does this include any utilities? If so, which ones?*
What is the most you would be comfortable spending each month on housing, before utilities?*

ADDITIONAL INFO
Tell us what homeownership means to you?*
What has stopped you from buying a home in the past (for example: knowledge about the process, access to a good realtor or lender, financial advice, down payment and closing costs)? *
Explain how you heard about the Shared Power Initiative? Why this program, right now in your life?*
If you were to receive this grant, in what ways would you be willing to give back?*

Become a peer mentor to another first time home buyerShare your story at one of our fundraising eventsHelp another woman move into a homeI am honestly too full / overwhelmed to consider giving back at this timeOther
Please tell us more about how you would see yourself entering into our community?*
List any other information or anything else you would want us to know.*
Interview Notes

CONFIDENTIALITY AGREEMENT
I certify that the information on this application is true, correct and complete to the best of my knowledge and belief. I understand that making a willfully false statement or misrepresentation is cause for rejection of this application.

With the signature below, I give my permission to Project I See You to have my references, criminal background, and my credit rating checked and verified. I also agree to furnish additional credit and income information upon request.

Reporting requirements may require the release of information to appropriate federal, state and local agencies, when relevant. All of this information will be held confidentially.
Printed Name: First Name Last Name
Date: Date
Signature

Clear
Date

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Date
FOR OFFICE USE ONLY
Readiness

BASIC CRITERIA