HomeKeeper Application

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Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Prepare

To fill out this application, you will need the following items:

Household Information including birth dates for all member of your household.
And financial information including all income sources, assets, and debts.

Save

Click the "Save my progress and resume later" link at the top of any page. You'll be prompted to submit an email and password. Afterwards you'll receive an email with a link that can be used later to open the application and continue working. When you return to complete the form, you will need to provide the same email and password.

Tip: If your internet connection is inconsistent, save your progress as you go.

Submit

All required fields must be filled. Any left blank will be highlighted in red when you attempt to submit. Once your application is submitted, you’ll receive a confirmation email. A staff member from CHT will be in touch with you within two business days to request any additional information needed.

Have you filled this form out before?

Yes, Please contact buyahome@getahome.org to update your application that is already on file. Not Sure, Please contact buyahome@getahome.org to see if you have an application to update. No, Continue to the next page.

If you prefer to print the application and fill it out manually, you can download the pdf here.

Translation / Interpretive services available at no cost to you, please call 802-861-7373 or email buyahome@getahome.org to schedule an appointment.

1 Applicant Information

2 Household Information

3 Economic Profile

4 Current Living Situation

5 Homeownership Goals

Provide details for the Primary Applicant below. The Primary Applicant will be the main contact for Champlain Housing Trust. It is not required that the Primary Applicant be the most significant contributor to the family income. If there is a Co-Applicant, another household member that will be a co-borrower or co-owner, please include their details also.

Primary Applicant

First Name

Middle Initial

Last Name

Date of Birth

Gender

Primary Applicant Contact Information

Email Address

Home Phone

Preferred Phone

Cell Phone

Do you receive text messages?

YesNo

Work Phone

Primary Applicant Mailing Address

Home Mailing Address

City

State

Zip Code

Primary Applicant Profile

Primary Language

Marital Status

Ethnicity

Race

Educational Attainment

Employment Status

Co-Applicant

Is there a Co-Applicant?

YesNo

First Name

Middle Initial

Last Name

Co-Applicant Contact Information

Phone

Date of Birth

Co-Applicant Profile

Gender

Race

Ethnicity

Educational Attainment

Employment Status

Relationship to Applicant

1 Applicant Information

2 Household Information

3 Economic Profile

4 Current Living Situation

5 Homeownership Goals

Please provide information about your desired living situation. This information will allow us to help you find the right home for you and your family.

Do you own or share ownership in any real estate?

YesNo

Have you owned a home in the last 3 years?

YesNo

Date that you sold your home?

How much do you currently have saved specifically for buying a home (down payment, closing costs, etc)?

Please enter the number without a dollar sign.

Where are you interested in purchasing? (Towns or Areas Desired)

How many bedrooms would you like in your new home?

Have you completed the Homebuyer Education Workshop in the last three years?

YesNo

Date you completed your financial counseling session?

Date you completed your Shared Equity Informational Meeting?

How did you hear about the shared equity program?

What is your primary reason for wanting to purchase a home?

Which of the following is the biggest barrier to buying a home for your household?

In how many months do you expect to be financially ready to purchase a home?

Comments: If you would like to clarify anything on your application or provide additional information that we should know, please use the space below.

You must check below to continue and submit your application.

Please read our Conflict of Interest Statement and Consumer Privacy Policy.

I acknowledge that I have read and understand the conflict of interest and consumer privacy policies.

One More Thing!

When you click submit below it may take a few moments. Please only hit the Submit button once. We’ll double check to make sure you have entered all the necessary fields. If you've missed anything you may need to use the Previous Page and Next Page buttons to navigate back to the field missing info. When you've filled out any of the missing pieces, submit again.

Once we receive your application, we’ll send you a follow up email requesting supporting documentation for your income and asset information within two business days. Once we receive the supporting documents that we require, we will process your full application within ten business days. We will send you an eligibility letter when we are finished.

Thank you for taking the time to complete our application and we look forward to working with you!

Save my progress and resume later | Resume a previously saved form