Apply for a Home »
Please review the Apply for a Home web page to ensure you meet our guidelines before submitting this form to Habitat for Humanity of Autauga and Chilton Counties. Please note that this Interest Form is NOT an application for a Habitat home, but provides us with your contact information so that we can notify you when we have our next application fair for the county in which you live.

All applications are filled out at the application fair after you have had the opportunity to learn more about what it means to be a partner family with Habitat.   We do not give out applications at our office.  They are only given out at application fairs.  

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
Email Address:

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