Get Started

Let's Get Started!

Let Us Know How We Can Help You

We’re so glad you’re here! The two words we look forward to saying to you are “Welcome Home” – whether that’s to your newly built home or to a home that feels new because we’ve made the repairs you’ve needed for a long time. If Home Repair is more along the lines of what you need, please also fill out our Home Repair Intake Form.

If you’re looking for information about Hope Building Homes, please click here.

Be aware that this is NOT an application, and we cannot determine whether you qualify for our program based on this form. This is simply an intake form, which lets us know what program or service you need and how we can contact you.

The first step on the road to homeownership is to fill out and submit this registration form. Once submitted, if you have selected Homeownership as your interest, the form is automatically emailed to our Housing Counselor, who will contact you as soon as possible about your next step. If you have questions before you are contacted, please call our office at 606-436-0497 or email our Housing Counselor.

If you’re ready, get the ball rolling by submitting our form!

More Info

Have a few questions about the Housing Development Alliance and our programs before you get started? Check out our Frequently Asked Questions.

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Intake Form
Take your first step towards a new or better home by submitting this registration form! We will contact you shortly about what you need to do next.
Name*
First Last
Email
Mailing Address*
Street Address/P.O. Box Address Line 2 City State ZIP / Postal Code
Phone
Which program are you interested in learning more about?*
Please select only one. If you have questions about other HDA programs/services, we will provide that information to you upon request.
Which county in our service area do you currently live in, or which county are you most interested in living?*
- Breathitt County
- Floyd County
- Knott County
- Leslie County
- Perry County
Message*
Briefly let us know how we can help you.
What is the best way to contact you?*
- Email
- Phone
- Text
- Postal Mail
If text is selected as the best way to contact you, please provide your carrier.
How did you hear about us?*
Email
This field is for validation purposes and should be left unchanged.

If you'd prefer not to submit an online form, just call us and request a paper application be mailed to you. You can either mail the completed form back to us, or you can fax it to our office. You may also simply come by our office to pick up or fill out a form!

Call: (606) 436-0497
TTY-711 (Hearing Impaired)

Fax: (606) 436-0598

Office Hours
Weekdays - 8:00 am - 5:00 pm

Let's Get Started!

More Info

Intake Form

If you'd prefer not to submit an online form, just call us and request a paper application be mailed to you. You can either mail the completed form back to us, or you can fax it to our office. You may also simply come by our office to pick up or fill out a form!

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