Pre-Application Form

Apply for a Home  
First Name:
Last Name:
Phone Number:
Phone Number Type:
Email Address:
Street:
City:
State:
Zip Code:
Have you been living in Kern County for more than 1 year?:
Is your household income between 16,000 and 33,000 per year?:
Is at least one of the applicants a U.S. citizen or legal permanent resident?:
Is your household between 3 and 7 people?:
Will you and members of your household be willing to work 500 hours of “sweat equity” (volunteer time)?:
Did you file income tax returns for the previous 2 years?:
Note: If you receive SSI, you still may qualify.