My Money My Future Program Registration

Thank you for your interest in Atlanta Habitat for Humanity's My Money My Future program. Please use this form to register for our next In-Person homebuyer session. An electronic reminder will be emailed out the week of the session.

If you have any questions or issues with this form email Karyn Woods or call 404-223-5180 ext 104

First Name

Last Name

Please enter a phone number and email address. An email address is required to participate in the virtual workshop.

Phone Number

Please select a date that you plan to attend our virtual homebuyer workshop and write down the date and time of your session before submitting your registration.

How did you hear about Atlanta Habitat? (Check all that apply)

CareSourceCommunity EventFriend or Family Habitat HomeownerInternetMarta AdPrint FlyerReStoreStaff MemberTelevision/MediaVolunteer or Sponsor Word of Mouth

Demographics- The following information is collected for grant reporting purposes only and does not impact your registration. Although you are not required to complete this section, we encourage you to do so to allow us to accurately report who we serve.

What is your zip-code

Date of Birth (MM/DD/YYYY)

Gender

Gender self describe

What is your household size?(including yourself)

What is your monthly gross household income (before tax deduction)?

Are you a Veteran or have Military experience

YESNODecline to State

What is your highest education level?

Ethnicity

Please describe your racial/ethnic background. Choose all that apply

Black / African AmericanCaucasianAsianHispanic / LatinoNative American or Native AlaskanNative Hawaiian or Pacific IslanderMiddle EasternOtherPrefer not to answer

I freely consent to the recording of my likeness, image and voice, by any method and means, including but not limited to still photography, audio and video recordings (“Recordings”) by Atlanta Habitat.

I understand that participating in My Money My Future will not give me an advantage in Atlanta Habitat's home purchase program.

I understand that all workshop speakers are invited to solely provide me with education regarding the home purchase experience.