HFHSCNJ Application

HFHSCNJ Application
Before beginning, do you have all required documents listed below?*

Yes, I have all required documents.
Are you prepared to submit these documents? You'll be asked to submit them at the end of this application as PDFs. Download a free PDF scanner app.*

Yes, I am ready to upload the required documents.
If you are missing any document besides rental payment proof, contact apply@habitatscnj.org to verify your eligibility.*

I am ready to upload all required documents and/or have reached out to apply@habitatscnj.org to verify my eligibility.

Document	Example
Birth Certificate	See Example
Driver's License (or equivalent)	See Example
Social Security Card	See Example
Three Months of Rental Payment Proof (if applicable)	Receipt/Letter from Landlord
Three Years of W2s	See Example
Three Years of Tax Returns	See Example
Four Pay Stubs	See Example
Six Monthly Saving Statements (i.e., Checking Account Statements)	See Example
Proof of Custody (if applicable)	Child's Birth Certificate or Social Security Card

Willingness to Partner

Upon selection for a Habitat for Humanity of South Central New Jersey home, you and your family must complete hours of “sweat equity" helping to build Habitat homes and/or helping in other areas of the organization. The exact number of hours will be determine once you are accepted into the Homeownership Program: 12.5 - 25 hours per month (depending on household size) while in the Homeownership Program. At no time will anyone performing these volunteer hours be provided with compensation by HFHSCNJ. Sweat equity hours will also include online financial education classes and in some cases acting as HFHSCNJ Partner Family representatives at events that help to promote the Habitat mission.
I am willing to complete the required sweat equity hours.*

YesNo
My co-applicant is willing to complete the required sweat equity hours.

YesNo
If you anticipate a problem with completing the required hours of sweat equity, please explain the nature of the problem.

Employment Information
Applicant
Name of Current Employer
Address of Current Employer
Concatenated Address of Current Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Hours per week
Have you been working your current job for less than two years and/or have more than one current job?

YesNo
Additional Employer #1
Name of Employer
Address of Employer
Concatenated Address of Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Finish Date

MonthDayYear
Date
Additional Employer #2
Name of Employer
Address of Employer
Concatenated Address of Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Finish Date

MonthDayYear
Date
Co-Applicant
Name of Current Employer
Address of Current Employer
Concatenated Address of Current Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Hours per week
Has your co-applicant been working your current job for less than two years and/or have more than one current job?

YesNo
Additional Employer #1
Name of Employer
Address of Employer
Concatenated Address of Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Finish Date

MonthDayYear
Date
Additional Employer #2
Name of Employer
Address of Employer
Concatenated Address of Employer
Position Held
Number of months worked per year
Work Phone
Please enter a valid phone number.
Monthly Gross Wages
Start Date

MonthDayYear
Date
Finish Date

MonthDayYear
Date
Additional Household Members With Income (including anyone 18+)

Monthly Expenses*
Provide monthly income for all members with income.*
Applicant Long Term Debt*
Co-Applicant Long Term Debt

Assets

List all financial accounts, such as checking, savings, CDs, IRAs, pensions, or other investment accounts. Attach additional sheets if necessary.
Applicant
Bank, Credit Union, Digital Wallet, etc.*
Do you own any real estate?*

YesNo
Property Address
Concatenated Property Address
Market Value
Do you own an automobile?

YesNo
Year
Make
Model
Co-Applicant
Bank, Credit Union, Digital Wallet, etc.*
Do you own any real estate?

YesNo
Property Address
Concatenated Property Address
Market Value
Do you own an automobile?

YesNo
Year
Make
Model

Authorization, Agreement, and Release

I understand that by filing this application, I am authorizing Habitat for Humanity of South Central New Jersey to evalutate my actual need for a Habitat home, my ability to repay an affordable loan and other expenses of homeownership, and my willingness to fulle participate in the Habitat program. I fully understand that the evaluation will include, but is not limited to, a full reciew of my financial situation, personal visits from Habitat representatives, employment and income verification, criminal background check and credit check. I further understand that if any information provided changes after I submit this application, I will supplement this document as applicable. I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, my application may be denied, and that even if I have already been selected to receive a Habitat home, I may be disqualified from the program if my situation changes or any information I provided or Habitat obtains is false or misleading. The original copy of this application may be retained by Habitat for Hmanity of South Central New Jersey even if the application is not approved. I agree that Habitat for Humanity of South Central New Jersey, Inc. may obtain verification of my employment, my income, my credit report, including my credit scores, and my criminal background in connection with its review of this application.

I consenst to the use of "electronic records" and "electronic signatures" as the terms are defined in and governed by applicable federal and/or state electronic transaction laws. I intend to sign and have signed this application using my electronic signature.

Applicant Name*
Applicant Signature*

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Date

MonthDayYear
Date
Co-Applicant Name
Co-Applicant Signature

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Date

MonthDayYear
Date

Equal Credit Opportunity Act Notice

At Habitat for Humanity of South Central New Jersey, we are committed to keeping your information private. We recognize the importance applicants, program families, tenants, and homeowners place on the privacy and confidentiality of their information. While new technologies allow us to more efficiently serve our customers, we are committed to maintaining privacy standards that are synonymous with our established and trusted name. When collecting, storing, and retrieving applicant, program family, and homeowner data — such as tax returns, pay stubs, credit reports, employment verifications and payment history — internal controls are maintained throughout the process to ensure security and confidentiality.

We collect nonpublic personal information about you from the following sources:

Information we receive from you on applications or other forms
Information about your transactions with us, or others
Information we receive from a consumer-reporting agency.

We may disclose the following kinds of nonpublic personal information about you:

Information we receive from you on applications and other forms, such as name, address, social security number, income, or number in household.
Information about your transaction with us, such as your loan balance, and payment history.
Information we receive from a consumer-reporting agency such as your credit history.

Habitat for Humanity of South Central New Jersey employees and volunteers are subject to a written policy regarding confidentiality, and access to applicants data is restricted to staff and volunteers on an as-needed basis. Information is used for lawful business purposes and is never shared with third parties without your consent, except as permitted by law. As permitted by law, we may disclose nonpublic personal information about you to the following types of third parties:

Financial service providers, such as mortgage servicing agents
Non-profit organizations, government entities, or other subsidy providers

If you prefer that we do not disclose non-public personal information about you to the nonaffiliated third parties, you may opt out of those disclosures, that is, you may direct us to make those disclosures (other than disclosures permitted by law). If you wish to opt out of disclosures to nonaffiliated third parties, you must notify Habitat for Humanity of South Central New Jersey at apply@habitatscnj.org or 856-484-5615.

I/We have received a copy and understand Habitat for Humanity of South Central New Jersey's Privacy Statement & Notice.

Applicant Name*
Applicant Signature*

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Date

MonthDayYear
Date
Co-Applicant Name
Co-Applicant Signature

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Date

MonthDayYear
Date

Privacy Statement and Notice

Information we receive from you on applications or other forms
Information about your transactions with us, or others
Infromation we receive from a consumer-reporting agency.

We may disclose the following kinds of nonpublic personal information about you:

Information we receive from you on applications and other forms, such as name, address, social security numebr, income, or number in household.
Information about your transaction with us, such as your loan balance, and payment history.
Information we receive from a consumer-reporting agency such as your credit history.

Financial service providers, such as mortgage servicing agents
Non-profit organizations, government entities, or other subsidy providers

Applicant Name*
Applicant Signature*

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Date

MonthDayYear
Date
Co-Applicant Name
Co-Applicant Signature

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Date

MonthDayYear
Date
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