Do I Qualify?

Call Jordan DeJong, Family Services Manager, at 719.475.7800 ext. 202 or fill out the form below.

Full Name *

Address*

City, State, Zip *

Phone

Your Email *

Have you owned a house (not a mobile home) before? *
Yes No 

How long have you lived in El Paso County? *

Are you a US citizen or permanent resident? *
Yes No 

How many people are in your family? *

What is your monthly gross income? *

Have you ever declared bankruptcy?
If yes, when was it discharged? *

Are you currently going through a divorce? *
No Yes 

Please describe your current housing situation. *