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Apply for the H3 Program

H3 Screening Questionnaire
  1. To qualify for the Healing Our Heroes’ Home program you must have the proper documentation to support the following statements:
    You are a homeowner.
    You have a disability rating of 80% or higher.
    You were honorably discharged.
    You reside within San Diego County.
  2. Name
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  3. E-mail(*)
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  4. Phone(*)
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  5. Street Address
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  6. City
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  7. State
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  8. Zip Code
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  9. Are you a veteran or active duty military?


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  10. If you're a veteran, were you honorably discharged?
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  11. If you're a veteran, can you produce your DD214


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  12. Branch of Service
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  13. Please List Your Rank
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  14. In what War(s) did you serve?
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  15. Does annual household income exceed $50,000


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  16. Please state your documented disability rating
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  17. Is your disability service connected?
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  18. If your disability rating is below 80% you are not eligible for this program.
  19. Do you have any special needs? (Please Explain)
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  20. What work do you need done on your home ? (Please Explain)
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  21. Have you lost any extremities? (please explain)
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  22. Marital Status



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  23. Do you have any children?


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  24. Are you a homeowner?


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  25. What is your residence type
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  26. If you reside in an apartment or condo you are not eligible for this program.
  27. What is the square footage of your home?
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  28. How many stories is your Home?



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  29. How many bedrooms does your home have?
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  30. How many full bathrooms does your home have?
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  31. How many half bathrooms does your home have?
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  32. Do you have a yard?




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  33. Enter Code
    Enter Code
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