Homeownership Interest List

Completing this form authorizes Dubuque and Jackson County to contact you regarding programs, services, and opportunities related to the Homeownership program. You may use this form to update your contact information with Dubuque and Jackson County Habitat for Humanity at any time.

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Are you able to receive text messages from Dubuque and Jackson County Habitat for Humanity? Standard text messaging rates apply.

Are you submitting this form to update your current contact information?