Are you a U.S. citizen or legal resident?
Are you currently employed or have a steady source of income?
Do you currently own a home?
Enter your full name
How many people live in your household?
Are there any dependents in your household?
How many dependents?
Total monthly household income
Are you currently renting, owning, or living with family/friends?
What is your monthly rent payment?
What is your monthly mortgage payment?
Have you previously applied for housing grants?
Please specify the grant name
If "Other," describe your need
How soon do you need assistance?
This will clear your answers and start again from the beginning