Group Session Intake

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To demonstrate our commitment to equity and our service reach, we are required to collect demographic information from the clients we serve. Please answer the following demographic questions.

1. What is your birth date?

2. What gender do you identify as?

Pronouns (Optional)

3. What is the highest degree or level of education you have completed?

4. What is your monthly household income? (Include income from all sources including employment, child support, social security, pension, etc.)

5. Are you a veteran?

6. Are you active military?

7. Are you living with a disability?

8. Do you need language assistance or an interpreter

9. What language do you primarily speak?

10. What is your current housing arrangement?

11. Do you live in a rural area?

12. What best describes your household type?

13. How many adults live with you?

Number of Adults to Add

14. How many children live with you?

15. What is your current marital status?

16. What is your race?

16.1 What is the race of the other person you listed?

17. Are you Hispanic, Latino or Spanish origin?

17.1 Is the other person you listed of Hispanic, Latino or Spanish origin?

18. Were you born outside of the United States?

19. Do you identify with any of the following immigrant or new American communities?

20. Are you a first time homebuyer (you have not owned a home for the past 3 years)?

21. Are you a first generation homebuyer (your parents did not own a home)?

How did you hear about us?

Do you have any safety concerns?

If desired, please briefly describe your safety concerns:

You have selected a free course, so no payment is necessary!

Payment for Workshop

All agencies offering the Home Stretch Workshop are now required to collect a fee per household attending the workshop.

If you are taking this workshop with another person in your household and plan on purchasing a house together, only one payment is needed.

If this fee causes you any sort of financial hardship or is a barrier for you taking this course, you may request for the fee to be waived.

Another person in my household already paid the fee for this workshop

Request a fee waiver

Payment Information

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Group Session Intake

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