The mission of Habitat for Humanity Inland Valley, in partnership with God, is to facilitate the dream of homeownership as well as improve living conditions for those in the community.

-Habitat gives a “hand-up, not a hand-out!”

  
     
 



Helping Hands Applicant Form
Please complete this on-line Helping Hands Application Form. As an alternative, you may print out a copy of the application by clicking here and return it to our office. Our address can be found on the Contact Us page.
Your Information: (Complete all fields.)
First Name: Last Name:
Street:
City: ST: ZIP:
Phone: Mobile:
Email:
Property Information:
Property Address:
City: ST: ZIP:
Property Owner:
Home Owners Assoc: Property Type:
Project Description:
Reason for Project:
Estimated Cost:
Requested Completion Date:

Applicant Financial Information / Needs Assessment:
Financial information is confidential and will be shared only between the Helping Hands for Humanity Project Approval Team.
Total Annual Income:
Extra-ordinary Expenses:
Other Limitations:
Other items to be considered: