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YWCADE & Fulton Mortgage Co.
Registration information is Confidential, Not Shared, and used for YWCADE REPORTING PURPOSES only
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Email
*
Your email
Lending-Home Ownership Essentials
Provided by
Full Name
*
Your answer
Gender
*
Choose
Female
Male
Non-Binary
Gender Queer/Non- Conforming
Prefer not to answer
Race
*
Choose
African American/Black/African
Hispanic
Native American/American Indian/Indigenuos
Native Hawaiian/Pacific Islander
White/Caucasian/European
Multi-Racial (two or more races)
Prefer Not to Answer
Ethnicity
*
Hispanic
Not Nispanic
Date of Birth
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Choose
Delaware
Pennsylvania
New Jersey
Other - please specify (in next question)
Specify State or answer
N/A
if your state
is
listed in previous question
*
Your answer
Zip Code
*
Your answer
Phone Number with area code
*
Your answer
Total Annual Household Income
*
Your answer
Income Sources
*
Choose
Employment
Self Employment
Unemployment
SSI
SSDI
Other
Marital Status
*
Choose
Single
Married
Divorced
Separated
Widowed
Unknown
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Military Status
*
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Active Military
Veteran
N/A
Household Type
*
Choose
Female-Headed Single Parent Household
Male-Headed Single Parent Household
Married with dependents
Married without dependents
Single Adult
Two or more unrelated adults
Other
Household Size - the number of people in your Household
*
Your answer
Do you consent to pictures or video of your image during workshops?
*
Yes
No
Which
in-person Seminar
will you attend?
Location: the
Walker Mills Building (behind Wegmans), 500 Dupont Field Blvd., Suite 340, Greenville, DE 19807 (near the Wegmans)
*
Saturday, September 19th at 11 AM - 1 PM
Saturday, October 10th at 11 AM - 1 PM
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