CHN Class Registration and Intake Application

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Welcome to CHN Housing Partners' Class Registration and Intake Application! We look forward to working with you. 

Please indicate below which classes you are signing up for. You will receive an e-mail confirmation once we have enrolled you in your preferred class series. 


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Applicant and Co-Applicant Details


In this section, please enter your most up to date contact information and demographic information.

CHN Housing Partners (CHN) is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all personal information shared verbally and/or in writing will be managed within ethical and legal consideration. Additionally, we want you to understand how we use the personal information we collect. Please carefully review this notice as it describes our policy regarding the collection and disclosure of your nonpublic, personal information.
 
CHN's Privacy Policy

The Applicant (and Co-Applicant, if applicable) should be an adult member of your household that will be able to represent, provide information for, and make decisions on behalf of your household. 
Applicant Information

















Enter date in MM/DD/YYYY format









Co-Applicant Information










Enter date in MM/DD/YYYY format









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Household Members


Please enter additional members who reside in your household (i.e. children, dependents, other family members, etc.). Use the "Add Additional Household Member" link to add as many as you need.

You do not need to re-enter Applicant or Co-applicant (if applicable) information here.


Please prepare for upload: For each household member, be prepared to provide verification that they are your dependents - such as Social Security Cards and Birth certificates

Household Member


Enter date in MM/DD/YYYY format











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Current Income Sources and Public Benefits


Please enter all sources of Income and Public Benefits that your household is CURRENTLY receiving, for all household members over the age of 18. 


Use the "Add Additional Income Source" link to add as many as you need


Current Annual Income is the estimated income for the current year including any wages,

benefits, alimony, child support and other forms of financial income or support.


Income includesFull-time employment, part-time employment, self-employment, spousal support, child support, investment income, Social security, SSI, SSDI, income from assets, pension/annuity, unemployment, adoption subsidy, short term disability, long term disability, veteran's benefits, zero income, family contribution, other

Public benefits include
Food stamps, WIC, ADC, OWF/TANF, rental subsidy, utility allowance, other public benefit


Current Income or Public Benefit Source

Enter the Household Member who this income belongs to


Provide the Job Title for Employment types, if applicable

Please take the total income you received in the last 30 days and multiply by 12 to determine your annual income:

Please estimate to the best of your ability. Our staff will review your documents and provide a full eligibility determination.

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Assets Declaration

If you are taking Homebuyer classes, or intend on applying for down payment assistance and/or first-time homebuyer programs, knowing your current assets helps us have a better understanding of what products and programs you may be eligible for. 

Please enter all liquid Assets you have control over for all household members over the age of 18. Liquid assets are cash on hand or assets in any other form that can be converted to cash within 20 days (SSA.gov)

Asset types include: Bank Accounts - Savings and/or Checking, Investment Accounts, Retirement, Certificates of Deposit, Cash on Hand, Pre-paid Debit Cards, Health Savings Accounts, Life Insurance Cash Value

Asset


Please estimate to the best of your ability - enter 0 if unsure

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Current Housing and Financial Information 

We will be asking more specific questions about your Housing and Financial Details here, including your living situation, goals, and financial information. This information will allow for us to screen eligibility for the wide range of programs we offer. You will be under no obligation to participate in programs we recommend.

Housing and Financial Information

Our team can provide the best information and guidance for your situation by understanding your financial goal and other financial details.








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Documentation is not required to attend; however, the following items may be helpful to us as we work with you. 

If taking photos with your phone/camera, you can line up your IDs and Social Security cards within one image, instead of one at a time



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Acknowledgement & Submit

I/we certify that all provided information is correct to the best of my knowledge and have received a copy of CHN's Privacy Policy. I/we authorize CHN Housing Partners to verify all information contained on this online form and to pull my credit report.

By typing my full name below, I hereby authorize CHN to release nonpublic personal information it obtains about me to any third parties necessary to provide me with the services I requested. I acknowledge that I have read and understand the above privacy practices. I understand I will receive a copy of all information submitted at the email address I provided on Page 2, "Applicant E-mail Address".