Fresh Start Homeownership
Please fill out this form to register for a BSDC hosted workshop. We require you to provide an email address and/or phone number so that we can contact you in the event that a workshop is rescheduled or cancelled. Funding for these programs is made possible by our grant providers. Information will be used solely to evaluate programs and to find out the characteristics of whom the program is serving. Personal information will never be shared and will be treated with confidentiality.
First Name *
Start with Caps
Your answer
Last Name *
Start with Caps
Your answer
Co-Applicant's First Name
If you own or are looking to purchase a home with a co-applicant please fill out his/her name
Your answer
Co-Applicant's Last Name
Start with Caps
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Please provide an email address so that we may contact you in the event of a date change or cancellation
Your answer
Cell Phone Number *
Remember to include the area code no "-" or "( )"
Your answer
Work Phone Number *
Remember to include the area code no "-" or "( )"
Your answer
How did you hear about our workshop?
Your answer
Which workshop do you plan to attend? *
Please select one workshop per registration form.
Are you a first generation home buyer(s)? *
Household Income *
for statistical purposes only
Ethnicity *
For statistical purposes only
Marital Status *
Active Military *
Highest Level of Education *
for statistical purposes only
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