Self-Help Housing Area Preference Survey

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* 1. How many people would be included as household members?

1-4 people

5 or more people

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* 2. How much TOTAL combined income did all members of your household earn in 2023? This includes income from employment; net income from business, farm, or rent; pensions; dividends; interest; social security payments; and any other income received by members of your household that are 18 years of age or older. Please use the total amount of money earned - do not subtract the amount you paid in taxes or any deductions listed on your tax return. Based on your household size, check the appropriate income range below.

1-4 household members: $50,400 and below

1-4 household members: Between $50,401 and $104,800

1-4 household members: $104,801 or greater

5 or more household members: $86,500 and below

5 or more household members: Between $86,501 and $138,350

5 or more household members: $138,3501 or greater

I did not earn any income in 2023.

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* 3. Please select in which East Hawaii areas you would be willing to build/live. Assume that we may only have one active project at a time, and that we cannot guarantee if/when projects will occur in any of the areas below. Select up to three (3) area choices.

Orchidland

Volcano

Fern Acres

Hawaiian Acres

Fern Forest

None of the above

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* 4. Have you completed a homebuyer education course in the past year?

Yes

No

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* 5. Enter the full name of the head of household.

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* 6. Enter the best email address for the head of household. Note that communications regarding our program will be sent to the email address provided.

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* 7. Enter the best contact number for the head of household.