Habitat for Humanity 
of Huron Valley
Information Form
Please Note: It Is Important to Make Sure That All Applicable Information Is Complete Before You Submit This Intake Form. Incomplete Intake Forms Will Not Be Processed.


Does Either the Applicant or Co-Applicant Own a Home? *
Do both the Applicant and Co-Applicant Live or Work in Washtenaw County? *
Are ALL Household Members a U.S. Citizen or do They have Eligible Immigration Status? *