Homeownership Readiness

Homeownership Readiness - Inquiry List

First Name

Last Name

E-mail Address

Phone Number

Street Address

City

State

ZIP Code

County of Residence

County of Interest

Polk CountyDallas CountyJasper CountyWhich County are you interested in living in?

Please note: If you do not live or wish to live in Polk, Dallas, or Jasper County, Iowa, please click HERE to find the Habitat for Humanity affiliate that serves your area!

You have selected Polk County, Iowa. Greater Des Moines Habitat for Humanity only serves Polk, Dallas, and Jasper counties in central Iowa. Please click, "Yes" the check box to confirm that you are interested in continuing.

You have selected Dallas County, Iowa. Greater Des Moines Habitat for Humanity only serves Polk, Dallas, and Jasper counties in central Iowa. Please click, "Yes" the check box to confirm that you are interested in continuing.

You have selected Jasper County, Iowa. Greater Des Moines Habitat for Humanity only serves Polk, Dallas, and Jasper counties in central Iowa. Please click, "Yes" the check box to confirm that you are interested in continuing.

Which city or town do you currently work in?

Do you have children in your household who are in Kindergarten through 12th grade?

Which school district are they enrolled in?

Preferred Method of Contact

Primary Language

Do you need an interpreter?

Race (optional)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhitePlease select all that apply

Ethnicity (optional)

Hispanic or LatinoNot Hispanic or Latino

How did you hear about us?

Greater Des Moines Habitat for Humanity may need to contact you regarding your response. We require your consent to contact you by phone, text message, and/or email. By submitting this form, you agree and opt in to be contacted by Greater Des Moines Habitat for Humanity. You have the ability to opt out of text messages at any time. Standard text message rates apply.

Contact Information