Please complete the form to register for the FREE Homebuying Workshop
**All information provided will not be sold, transferred or provided to other parties for solicitation and will only be used for internal registration purposes**
Which workshop would you like to attend?
Please choose the best date, time and location that fits your needs
11:30AM - 1:00PM: Tuesday, November 17th - Maryland
7:00PM - 8:30PM: Tuesday, November 17th - Maryland
11:30AM - 1:00PM: Wednesday, November 18th - Virginia
7:00PM - 8:30PM: Wednesday, November 18th - Virginia
Annual Household Income
Please choose the one that best describes your Household Yearly Income
Less than or Equal to $49,999
$50,000 - $79,999
$80,000 - $99,999
Greater than or Equal to $100,000
How many people are in your household
Number of people
Best Telephone Number
Please provide a phone number to provide updates and reminders about the scheduled Event
If available, please provide your email address to provide updates on event
Were you born in the United States of America?
Yes, Born in the United States of America
No, Foreign Born
Head of Household?
African American / Black
White Non Hispanic
Asian / Pacific Islander
i.e. Korean; Chinese; Peruvian; etc.
How well can you speak and understand English?
I am Proficent in English
I am NOT Proficient in English
Date of Birth
Highest Level of Education
Junior High School / Middle School
High School / GED
Graduate School - or higher
Which describes you?
Choose one of the following that best describes
Current with Mortgage Payments
30 Days past due on Mortgage Payments
60 Days past due on Mortgage Payments
90 Days past due on Mortgage Payments
120+ Days past due on Mortgage Payments
How did you hear about the Workshop?
Word of Mouth
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