Homes of Hope Application

]Thank you for expressing interest in the Love INC Homes of Hope Housing Ministry. Below, you will find an online form to complete, or you can download, print and mail an application to Love INC of GHC PO Box 144 Millersburg, OH 44654. You will also find a brochure that explains some further details about Homes of Hope.

Please feel free to call our office at 330.473.6017 for more information or if clarification is needed.

Apply For Homes of Hope

Step 1 of 4

Household Information

Name(Required)

First Last

Email(Required)

Birthdate(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Landlord(Required)

Landlord's Phone(Required)

How did you hear about Homes of Hope?(Required)

Who lives in the home with you? Spouse/Partner?Children(Required)

Adult(s) Full Name

Birthday

Relationship

Who lives in the home with you? Spouse/Partner?Children(Required)

Children Full Name

Birthday

Grade

School

Homes of Hope Application

Apply For Homes of Hope

Household Information

Housing Situation

Income and Bills

References

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