Pre-Qualification Survey

Is the Home Works USA Community a good fit for you? Please respond to the questions below to help us get to know you better.

Name

First

Last

Phone

If no email enter phone number that can receive texts

Have you spent time in foster care?

Yes

Are you between the ages of 18 and 26 years old?

Yes

What category best describes your current ability to spend between $500 and $600 a month on housing expenses, including rent and utilities? *

My take home pay is less than $600 a month.

If I spent that much on housing, I would have difficulty affording necessities such as food, clothing, transportation, and medical care.

Even if I spent that much on housing, I would be able to take care of my other necessities as long as nothing unexpected happens.

I would be able to spend more than that on housing and have no trouble affording necessities.

OtherOther

If you are human, leave this field blank.

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