Comments: ________________________________________________________________________________

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Inquiry From Prospective applicant

Date of Contact: ________________________    

Do you live or work in:  oOverton County   oPutnam County    o I don’t live or work in either County

If no to both, this applicant does not qualify for the UCHFH Home Ownership Program.

“I am sorry, at this time we only serve the Overton County & Putnam County areas.”

How did you hear about us?

o Word of Mouth   Who? _________________________

Is this person a Habitat Homeowner?  o Yes   o No

o Flyer                       Where? _______________________
o Newspaper           Which one? ____________________
o Radio                      What station? __________________o Website  
o Social Media (Facebook, Twitter, Instagram)

o Other Source: _________________________________   

o Tell each caller the following:
The Habitat Home Ownership Program is
designed to assist families & individuals in
becoming successful home owners.  At the end
of the Program/Partnership UCHFHH along with volunteers & donors will help them build a new, energy efficient home that the
family/individual will purchase from Habitat with an affordable mortgage payment.

Do you have: a Need for Housing, the Ability to Pay & the Willingness to partner with Upper Cumberland Habitat for Humanity to complete the required “Sweat Equity”?    o Yes   o No

Would you like to be contacted when the application season is open?  o Yes   o No