Please complete this survey so we can help you get your first home!
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1) Will this be your first house?
Other (Please Specify):
2) How many children do you have?
Other (Please Specify):
3)
Will the parents live here with the children?
Other (Please Specify):
4) Will any other family members live with you?
Mother
Father
Grandparent
Uncle
Aunt
Friend
Other (Please Specify):
5)
Do you rent your home?
6) Do you live with other family members and pay rent to them?
Other (Please Specify):
7) If none of the above apply, are you homeless or living in shelters?
Other (Please Specify):
If you are interested and believe you might be able to purchase a home, please write your name, current address, city and county, your telephone where you may be reached, so that Eco Dream can contact you.
8)
9) If you have any other comments, please let us know. We do not offer free housing or shelter. We do not give money away. Please contact your local Red Cross Chapter or Social Service Agency in your area.
If you need a home in the next 6 months, please email us and let us know.
