First-time Homebuyer Education Workshop Registration Form



Upcoming HBE Workshops

First Name:

Middle Name:

Last Name:

Gender: Female Male

Address:

Home Phone:

Cell Phone:   

Email:

Birthdate: mm/dd/year

Are you a first-time homebuyer? Yes No
(have not owned a home in the last 3 years)

How did you hear about us?

Education Level:

Marital Status:

Born in the US? Yes No

Veteran? Yes No

No. of people in the household:

Current Housing Arrangement:

Current Household Type:

Income Levels:

Where are you in the home buying process?

1. Which financial institution do you use? N/A if it does not apply

2. Submitted a mortgage application? Yes No
Loan officer name: N/A if it does not apply
Loan officer contact number: N/A if it does not apply

3. Have a signed purchase and sales Real Estate Agent: Yes No
Real Estate Agent name: N/A if it does not apply
Real Estate Agent contact number: N/A if it does not apply

4. Completed home inspection? Yes No
Home inspector name: N/A if it does not apply
Home inspector contact number: N/A if it does not apply

5. Received financing commitment letter?: Yes No

6. Have a closing/settlement agent?: Yes No
Closing/Settlement Agent name: N/A if it does not apply
Closing/Settlement Agent contact number: N/A if it does not apply

7. Have a closing date? Yes No
When:
mm/dd/year (N/A if it does not apply)

Race: