BOSTON Registration Form for ABCD Housing Search Workshop
Please note that by completing this form, you will be registered for the next upcoming housing search workshop that will take place at 178 Tremont Street, 3rd Floor, in Boston. If you live in the Mystic Valley area (Malden, Medford, or Everett), please instead register here: CLICK HERE IF YOU WISH TO ATTEND A MALDEN WORKSHOP INSTEAD
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Email *
Please select the BOSTON workshop date that you are registering for:
*
First Name *
Last Name *
Gender *
Date of Birth *
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DD
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Street Address  *
City *
Zip Code *
Phone Number *
Ethnicity *
Race *
Do you have a disability? *
What types of health insurance do you have? *
Required
Are you a custodial parent/guardian of a child/children? *
How many total people (including yourself) live in your household? *
What is your current housing status? *
What is your current employment status? *
What is your household's estimated annual income?  *
(Please account for all sources of income for all household members over the age of 18)
Does anyone in your household receive any of the following non-cash benefits? *
Required
What is your highest level of education? *
Would you like to join ABCD Housing's email list? *
You are signing up to attend our Boston workshop. Please confirm that you are aware of the workshop location by selecting one of the options below: *
A copy of your responses will be emailed to the address you provided.
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