HHFH Eligibility Self Assessment

This self-assessment helps you understand if you may qualify for the Housatonic Habitat for Humanity homeownership program. It covers the three core eligibility areas: housing need, willingness to partner, and ability to pay.

This is NOT an official application. it is a first step to help you prepare. The Housatonic Habitat Family Partnership Commitee will review all submissions and a Housatonic Habitat staff will follow up with you.

Estimated time: 5 minutes

*indicates required question

Your Contact Information

First Name *

Last Name *

Email *

Gender

Marital Status

Date of Birth *

Address Line 1 *

Address Line 2

Phone *

City *

State *

State/Province

Zip *

Postal Code

Country / Region

About You

Please provide your basic contact information so we can follow up with you.

Please note, you must either live or work in our service area in order to be considered for our program. Our service area encompasses Bethel, Bridgewater, Brookfield, Danbury, New Canaan, New Fairfield, New Milford, Redding, Ridgefield, Roxbury, Sherman, Washington, Weston, and Wilton.

If you do not live and/or work in our service area you will not be in consideration for our program.

City/Town you currently work in: * The field City/Town you currently work in: is required.

State you currently work in: * The field State you currently work in: is required.

Number of people in your household: * The numeric field Number of people in your household: is required.

Are you a U.S. Citizen/Legal Resident Alien? * The field Are you a U.S. Citizen/Legal Resident Alien? is required.

Your Housing Need

Housatonic Habitat requires applicants to demonstrate a clear need for safe and decent housing. You only need to meet ONE of the conditions below.

Please answer these questions honestly with a yes or no response below.

Is your curent home overcrowded? For example: more people than bedrooms, sharing a home with another family, or sleeping in non-bedroom spaces.
Is your current home unsafe or in poor condition? For example, structural damage, mold, no reliable heat or water, or code violations.
Do you pay more than 30% of your income toward housing costs? This includes rent, utilities, and any housing-related fees.
Please describe your current housing situation in your own words. What makes your current housing situation difficult or unsafe?

Housing Need * The field Housing Need is required.

4. Describe your current housing situation. * The field 4. Describe your current housing situation. is required.

Willingness to Partner

Housatonic Habitat is a partnership program. Families are expected to invest their own time and effort through education, volunteer service, and participation in the homeownership journey. This section helps us understand your commitment to the program.

Please answer the following questions honestly using the dropdown options provided.

1. Are you willing to complete home preparedness and financial education classes? These classes are required and help families prepare for successful homeownership.

2. Are you willing to volunteer 250 hours helping build or repair Housatonic Habitat homes (sweat equity)? Sweat equity hours are a core part of the program and help strengthen our community while preparing families for homeownership.

3. Are you willing to partner with Housatonic Habitat by sharing your homeownership journey through photos, testimonials, interviews, or other storytelling opportunities? Homeowner stories help raise awareness, inspire supporters, and generate the resources needed to help more families achieve affordable homeownership. Housatonic Habitat will work with you to determine how your story is shared and will respect your comfort level and preferences. If selected for the program, you will review and sign a separate Media Release and Partnership Agreement that outlines these opportunities in greater detail.

1. Are you willing to complete the classes? * The field 1. Are you willing to complete the classes? is required.

2. Are you willing to do "sweat equity" hours? * The field 2. Are you willing to do "sweat equity" hours? is required.

3. Are you willing to partner with HHFH? * The field 3. Are you willing to partner with HHFH? is required.

Ability to Pay

Habitat homes are sold with affordable mortgages - payments are typically set so they do not exeed 30% of your income. You do not need to be wealthy to qualify, but you must have a stable income and the ability to make consistent monthly payments.

Total household income of less than $54,000 does not meet our minimum income qualifications and will not be considered for this program.

Note: You do not need to share exact income figures here. This section helps us understand your general financial situation.

Please answer the following questions honestly from the drop down choices listed below.

Do you have a stable, documented source of income? This can include employment, self employment, Social Security, disability benefits, or other verifiable income?
How long have you been at your current job (minimum 2 years)?
How would you describe your ability to make a monthly mortgage payment? Housatonic Habitat mortgage payments are designed to be affordable - typically lower than average market rent. Please choose the income range from the dropdown menu that fits your current household income.
How would describe your current credit situation? Perfect credit is not required, but Housatonic Habitat will review credit history as part of the formal application.
Please choose your credit score range from the dropdown menu that fits your current credit score rating.
Have you experienced a significant financial hardship in the past 1-3 years? For example: job loss, medical bills, family emergency, natural disater. This context helps Housatonic Habitat understand your full situation.
If yes, please briefly describe the hardship (optional). This invormation is kept confidential and is used only to understand your circumstances.

1. Do you have a stable source of income? * The field 1. Do you have a stable source of income? is required.

2. Please state years at your current job(min. 2): * The numeric field 2. Please state years at your current job(min. 2): is required.

3. Please choose your income range: * The field 3. Please choose your income range: is required.

4. Describe your current credit score: * The field 4. Describe your current credit score: is required.

5. Please select your current credit score: * The field 5. Please select your current credit score: is required.

6. Have you had a significant financial hardship? * The field 6. Have you had a significant financial hardship? is required.

7. Describe briefly the hardship (optional). The maximum length for the field 7. Describe briefly the hardship (optional). is 5000 characters.

A Few Final Questions

Have you ever owned a home before? * The field Have you ever owned a home before? is required.

How did you hear about this program? * The field How did you hear about this program? is required.

Is there anything else you would like us to know? The maximum length for the field Is there anything else you would like us to know? is 500 characters.

Consent and Acknowledgement

Please confirm the following in the dropdown list below.

I confirm that my answers are truthful to the best of my knowledge.
I understand this is a self-assessment, not an official appliction.
I understand that Housatonic Habitat may contact me at the email or phone I provided.
I understand that submitting this form does not guarantee program assistance.

4. I confirm my answers are truthful. * The field 4. I confirm my answers are truthful. is required.

I understand: * The field I understand: is required.

Electronic Signature and Date

Please note: by typing your name below, you acknowledge that it serves as your electronic signature and indicates that you have read, understood and agree to the terms of the Eligibility Self-Assessment form.

Electronic Signature (your full name): * The field Electronic Signature (your full name): is required.

Today's Date * The date field Today's Date is required.