First Time Home Buyer Class Application * Codman Square Neighborhood Development Corporation

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Fields with an asterisk (*) are required. Please note this is a multi-page form and PayPal payment is required to submit your application. CSNDC is supported by US HUD, NeighborWorks America, United Way, and other funders who require we report to them on the individuals we serve. The information you provide on this form is kept private and confidential and only used for reporting and compliance purposes. Please allow 10-15 minutes to complete this application. If you need assistance, please contact us.

- Step 1 of 3

How would you like to register for the class? *

Single Person - $ 33.00
2 People (Couple) - $ 53.00

Prices include a $3.00 registration fee.

Attendee Information

Name *

First

Last

Email *

Phone *

Street Address *

City *

State *

Zip code *

Ethnicity *

Hispanic
Non-Hispanic

Race (check all that apply) *

Black/African-American
American Indian
Caucasian/White
Native Hawaiian/Pacific Islander
Asian
More than one race
Other

If you selected "other", please describe

Gender

Female
Male
Other/Transgender/Nonbinary

Please select the option that best describes how you identify.

Date of Birth *//

Marital status *

Married
Separated
Single/Never married
Divorced
Widowed

Family size *

Total number of people in your household.

What is the primary language you speak at home? *

English
Spanish
Other

What is your level of English proficiency? *

English proficient
Not proficient in English
Prefer not to answer

If you selected "other", please describe

Level of education (highest level completed) *

Less than 12th grade
High School/GED
Some College
2-year degree
4-year degree
Graduate-level degree

Do you identify as a member of the LGBTQIA+ community? *

Yes
No
Prefer not to answer

Are you a veteran? *

Yes
No
Prefer not to answer

Are you Active Duty Military? *

Yes
No
Prefer not to answer

Do you have a disability? *

Yes
No
Prefer not to answer

Are you a Head of Household? *

Yes
No
Prefer not to answer

Where were you born? *

U.S. or U.S. territory (e.g. Puerto Rico)
Another country
Prefer not to answer

Have you or your parents owned a home in the U.S.? *

Yes
No
I don't know

Employer & Occupation *

(Job title or unemployed)

Monthly income *

Do you currently have a Checking Account? *

Do you currently have a Savings Account? *

Have you seen a copy of your credit report or a credit score in the last year? *

If you know it, what is your credit score?

What are your financial goals? Select all that apply. *

Purchase a home
Continue education
Reduce personal debt
Improve/build credit
Start a business
Other

If you selected "other", please describe

Partner/Spouse/Attendee #2 Information

Partner's Name *

First

Last

Partner's Email *

Partner's Phone *

Partner's Street Address *

City *

State *

Zip code *

Partner's Ethnicity *

Hispanic
Non-Hispanic

Partner's Race (check all that apply) *

Black/African-American
American Indian
Caucasian/White
Native Hawaiian/Pacific Islander
Asian
More than one race
Other

If you selected "other", please describe

Partner's Gender

Female
Male
Other/Transgender/Nonbinary

Please select the option that best describes how your Partner identifies.

Partner's Date of Birth *//

Partner's Marital status *

Married
Separated
Single/Never married
Divorced
Widowed

Partner's Family size *

Total number of people in your Partner's household.

What is the primary language your Partner speaks at home? *

English
Spanish
Other

What is your Partner's level of English proficiency? *

English proficient
Not proficient in English
Prefer not to answer

If you selected "other", please describe

Partner's level of education (highest level completed) *

Less than 12th grade
High School/GED
Some College
2-year degree
4-year degree
Graduate-level degree

Does your Partner identify as a member of the LGBTQIA+ community? *

Yes
No
Prefer not to answer

Is your Partner a veteran? *

Yes
No
Prefer not to answer

Is your Partner Active Duty Military? *

Yes
No
Prefer not to answer

Does your Partner have a disability? *

Yes
No
Prefer not to answer

Is your Partner a Head of Household? *

Yes
No
Prefer not to answer

Where was your Partner born? *

U.S. or U.S. territory (e.g. Puerto Rico)
Another country
Prefer not to answer

Has your Partner or your Partner's parents owned a home in the U.S.? *

Yes
No
I don't know

Partner's Employer & Occupation *

(Job title or unemployed)

Partner's Monthly income *

Does your Partner currently have a Checking Account? *

Does your Partner currently have a Savings Account? *

Have you seen a copy of your Partner's credit report or a credit score in the last year? *

If you know it, what is your Partner's credit score?

What are your Partner's financial goals? Select all that apply. *

Purchase a home
Continue education
Reduce personal debt
Improve/build credit
Start a business
Other

If you selected "other", please describe

How did you hear about us? *

CSNDC staff
Flyer/Brochure
Friend/relative
Someone who took a CSNDC workshop
Lender/mortgage company
Internet/social media
Other

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$ 0.00

Includes $3.00 registration fee.

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First Time Home Buyer

Class Application Form

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