Delinquency Program

Delinquency Program

Please complete this form to help determine participation in a Habitat Homeowner Delinquency Program
What is your First and Last Name?*

First NameLast Name
What is your preferred Email?*
example@example.com
What is your preferred Phone Number?*
Please enter a valid phone number.
Would you be interested in a 6-month Program to help guide you out of your Delinquency?*
This program would consist of 8 Sweat Equity Hours a month
Would you be interested in a single budgeting class instead of the 6-month program?*
What would prevent you from participating in the 6-month program?*
What would prevent you from attending the budget class?*
What would incentivize you to attend the 6-month program?*
What areas of Homeownership would you like to learn more about to help you manage your home and/or finances?

Understanding your CreditFire SafetyHome MaintenanceTree & Lawn MaintenanceInsuranceEscrowEmergency PreparednessOther
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