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2020 Pre-Qualification Questionnaire

Home / 2020 Pre-Qualification Questionnaire

Step 1 of 4

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  • CONSENT TO RECEIVE ELECTRONIC DISCLOSURES UNDER THE ELECTRONIC SIGNATURES IN GLOBAL AND NATIONAL COMMERCE ACT (E-SIGN Act)

    Please read this information carefully and print a copy and/or retain this information electronically for future reference. You are submitting a request for a pre-qualification, loan application, or referral form through Habitat for Humanity of Broward. Habitat for Humanity of Broward can provide you with some of the benefits of our services by conducting some of our business through the internet. This document informs you of your rights when receiving legally required disclosures, notices and information from Habitat for Humanity of Broward.

    By completing and submitting your request through Habitat for Humanity of Broward, you acknowledge receipt of this document and consent to the electronic delivery of such disclosures, notices, documents and other pertinent information.

    Electronic Communications Disclosures, notices and information related to this request will be provided to you electronically. However, if you wish to obtain a paper copy of any notice or disclosure, you may write to Habitat for Humanity of Broward at 3564 N. Ocean Blvd. Fort Lauderdale, Florida 33308 with the details of your request. Paper copies will be provided to you at no charge. You may withdraw your consent at any time by contacting us at Habitat for Humanity of Broward.

    Joint Accounts If you are applying jointly with another person, either one of you may consent to receive or cancel electronic disclosures and notifications. Such consent shall apply to all owners.

    System Requirements In order for you to access and retain your notifications and disclosures, your personal computer must have internet and email access.

    Changes to your Contact Information You should keep us informed of any change in your electronic mailing address. Please notify us immediately of any changes to your email address or your system capabilities that enable you to receive electronic notification and disclosures.


  • Applicant Information

  • Sorry. You must live in Broward County. Applicants outside of Broward will not be accepted.


  • (Sexual Misconduct, Disorderly conduct involving disturbance of neighbor; Criminal activity involving destruction of property; Two or more misdemeanor drug-related convictions related to manufacturing, delivery or sale; Any drug-related felony; Violent crimes including: murder, child abuse, sexual assault, battery, aggravated assault and assault with a deadly weapon.)


  • Thank you for your interest in becoming a Habitat Homeowner. At this time, we regret that you are not eligible for this program.

  • Co-applicant Information



  • (Sexual Misconduct, Disorderly conduct involving disturbance of neighbor; Criminal activity involving destruction of property; Two or more misdemeanor drug-related convictions related to manufacturing, delivery or sale; Any drug-related felony; Violent crimes including: murder, child abuse, sexual assault, battery, aggravated assault and assault with a deadly weapon.)
  • Thank you for your interest in becoming a Habitat Homeowner. At this time, we regret that you are not eligible for this program.

  • Household Residents
  • Applicant Name:
  • Co-Applicant Name:
  • Please enter a number from 1 to 9.
  • Please enter a number from 0 to 9.


  • Total Household Monthly Income
    List the total monthly income of all applicants. Include income from these sources: Wages (before taxes and deductions), Social Security, alimony, child support, any other regular monthly income. Please list each different type of income along with the monthly amount:
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.






  • Total Household Monthly Expenses
    List the total monthly expense of all applicants. Include expenses from these sources: credit cards, car payments, loans such as furniture or student loans, or any other debts (do not include utilities).
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 9999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 99999.
  • Please enter a number from 0 to 99999.






  • By submitting this form, I/We affirm that the information on this form is true. I understand that providing false information could cause me/us to be disqualified from the Habitat program. I/We understand that a Habitat Associate will contact me (via the email submitted on this form) with the results from this questionnaire and that I/We may be invited to complete a homeowner application.
  • This field is for validation purposes and should be left unchanged.

ADMIN OFFICES

3564 North Ocean Boulevard
Fort Lauderdale, FL 33308

(954) 302-7269

info@habitatbroward.org

Habitat ReStore on Facebook Habitat ReStore on Instagramย 

RESTORE OFFICES

505 West Broward Boulevard
Fort Lauderdale, FL 33312

(954) 278-3612

restore@habitatbroward.org

Habitat ReStore on Facebook Habitat ReStore on Twitter

Like a good neighbor, @statefarm has once again g Like a good neighbor, @statefarm  has once again generously donated $5,000 to Habitat Broward in support of our home building efforts. We are so grateful for your continued support over the past 11 years โ€“ donating a total of $59,500 towards homeowner education and the construction of affordable homes. #tbt #likeagoodneighbor #affordablehousing
Nobody can do it all, especially not alone, but we Nobody can do it all, especially not alone, but we can all pitch in with what we have.
Every volunteer impacts families for generations, but our volunteers know that this experience impacts their lives just as profoundly.๐Ÿ˜๏ธ๐Ÿ’ž
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#HabitatForHumanity #habitatbroward #habitatbuild #habitatfamily #donors #foragoodcause #dogoodfeelgood #kindness #volunteering
If you have time to volunteer and help those in ne If you have time to volunteer and help those in need of a helping hand, by all means, go for it, help someone build a better future for their family. Every bit makes a big difference. ๐Ÿ˜๏ธ
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#habitatbroward #habitatbuild #habitatfamily #donationswelcome #donors #foragoodcause #dogoodfeelgood #kindness #volunteering
#DidYouKnow that Habitat homeowners help build the #DidYouKnow that Habitat homeowners help build their own homes alongside #volunteers? With their help, our partner families achieve the strength, stability & self-reliance they need to build a better life for themselves and their families ๐Ÿ”จ๐Ÿ 
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#HabitatForHumanity #habitatbroward #habitatfamily #housingforall #helpingourcomunity #affordablehomeownership #heartshandshomes #nonprofit #communitysupport #socialgood #browardcounty
Habitat homes help families avoid making impossibl Habitat homes help families avoid making impossible choices between rent & other basic necessities by providing them with a mortgage they can afford. If youโ€™re interested in building homes, communities & hope with us. Visit our website & find out how you can contribute! ๐Ÿ”จ๐Ÿ 
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#HabitatForHumanity #habitatbroward #habitatbuild #habitatfamily #donationswelcome #Volunteers #HFHVolunteer #AffordableHomeOwnership #HousingForAll #foragoodcause
On this day in 1870 Hiram Rhodes Revels was sworn On this day in 1870 Hiram Rhodes Revels was sworn in as the nationโ€™s first African American senator. Habitat Broward celebrates the leadership and contribution of African Americans, like Senator Revels this Black History Month.
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#habitatforhumanity #habitatforhumanitybroward #habitatcommunity #blackcommunity  #blackhistorymonth #blackhistory #RosaParks #blacklivesmatter #blackisbeautiful #blacklove #love #bhm
The importance of community service lies in the fa The importance of community service lies in the fact that it connects us to the community by improving it & making it a better place for all of us to live in. 
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Find out more about available volunteer opportunities by visiting our website.
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#HabitatForHumanity #habitatbroward #habitatbuild #habitatfamily #heartshandshomes #nonprofitorganization #teamwork #volunteering #socialimpact #communityengagement
On this day in 1979 Frank E. Peterson Jr. was name On this day in 1979 Frank E. Peterson Jr. was named the first black general in the Marine Corps.
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#habitatforhumanity #habitatforhumanitybroward #habitatcommunity #blackcommunity  #blackhistorymonth #blackhistory #RosaParks #blacklivesmatter #blackisbeautiful #blacklove #love #bhm
Poverty is a condition of being unable to obtain o Poverty is a condition of being unable to obtain or provide a standard level of food, water and/or shelter or decent housing. That being said, there are significant differences between relative and absolute poverty. Check out our latest blog and find out everything you need to know about poverty and its classification. Link in bio ๐Ÿ‘†
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#HabitatForHumanity #habitatbroward #habitatbuild #habitatfamily #donationswelcome #foragoodcause #dogoodfeelgood #kindness #volunteering #nonprofitsofinstagram
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