Home Ownership Partners Survey

We are conducting a survey to document the homeownership needs within our community. Some people have not been able to buy a home for lack of the closing costs. This survey can help determine the need and by completing the survey you may help make that assistance available.

The objective is help everyone with the desire and determination to own a home in our community.

Name:

Address:

City:

State: Zip:

Phone No.

E-Mail Address:

Have you ever purchased a home?

Have you ever not been able to purchase a home due to closing cost money?

Please Explain:

Would you like to receive information about the organization after it has been started?

Would you be interested in participating in a program to assist you in closing cost money?

Is there any other information that you would like to add to this survey that pertains to purchasing a home, closing costs, or assistance?

Status: Dependents:

Items in red are required fields.

Thank you very much for participating in our survey.