HomeOwner University
January 2025
Registration Form
Champlain Housing Trust is pleased to offer HomeOwner University (HOU), a week-long event with classes geared to help homeowners achieve financial and housing stability to be Happy HomeOwners! We have a variety of classes: some are virtual via Zoom, others are in person (all in person classes are in Burlington). Please select all the classes you will attend, note that some classes have capacity restrictions.
Attendee #1
Roundtable Discussion for SEP Owners, Saturday, January 11, 9:00 - 9:45 AM IN PERSON
Slash Your Energy Bills, Saturday, January 11, 10:00 - 11:30 AM - IN PERSON
Planning for Retirement, Saturday, January 11, 11:45 - 1:15 PM - IN PERSON
Creating an Effective Home Maintenance Plan, Monday, January 13, 6:00 PM - VIRTUAL
Money Habitudes, Tuesday, January 14, 6:00-7:30 PM - IN PERSON
Working with a Contractor, Wednesday, January 15, 6:00-7:30 PM - VIRTUAL
Hands-On Home Maintenance, Thursday, January 16, SOLD OUT
Are You Properly Insured, Friday, January 17, 12:00-1:30 PM - VIRTUAL
Please tell us about yourself.
First Name
Middle Initial
Last Name
Birthdate
Gender
Please select...
Male
Female
Transgender
Other
What is your Marital Status?
Please select...
Single
Married/Domestic Partner
Separated
Divorced
Widowed
What is your Race?
Please select...
Caucasian/White
American Indian/Aleut/Eskimo/Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
More than one race
Chose not to respond
Race not listed
Hispanic, Latino, Latina, or Latinx
What is your Ethnicity?
Hispanic
Not Hispanic
I choose not to respond
Are any members in your household Black, Indigenous, People of Color? (BIPOC)
Yes
No
What races/ethnicities live in your household? Please select all that apply.
White
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
American Indian and White
Asian AND White
Black or African American AND White
American Indian AND Black
Other multiple race
Were you born in a Foreign Country?
Yes
No
Do you speak English fluently?
Yes
No
What is your Household's Primary Language?
Please select...
English
Arabic
Armenian
ASL
Bosnian
Cantonese
Mandarin
French
French Creole
German
Greek
Gujarati
Hindi
Hmong
Italian
Japanese
Korean
Napalese
Other
Persian
Polish
Portuguese
Russian
Somali
Spanish
Tagalog
Urdu
Vietnamese
Cambodian
Czech
Indonesian
Swahili
Turkish
Ukrainian
Unknown
Are you actively serving in the military
Yes
No
Are you a Veteran?
Yes
No
Education
Please select...
Less than High School Diploma
High School Diploma or equivalent
Some Post-High School Education
Certification from a Vocational or Technical Training Program
Associate's Degree
Bachelor's Degree
Master's or other Graduate Degree
What is the Street Number of your Residence (numbers only)
What is the name of the road you live on?
Do you have an Apartment Number or Apartment letter? (if applicable)
What is your City of Residence?
In which state do you reside?
Please select...
VT
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
WA
WV
WI
WY
What is the Zip Code of Residence?
Is your mailing address different from your physical address?
Yes
No
Second address (if needed)
Mailing Street
Mailing City
Mailing State
Please select...
VT
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
WA
WV
WI
WY
Mailing Zip
Mobile Phone Number
Personal Email
**
Please note
your fee entitles up to two people, to attend the workshop. If you need an accommodation or a support person to attend with you please contact our office to make the necessary arrangements. – education@getahome.org or 861-7394 **
Is someone else attending the workshop with you?
Yes
No
Attendee #2
Roundtable Discussion for SEP Owners, Saturday, January 11, 9:00 - 9:45 AM
IN PERSON
Slash Your Energy Bills, Saturday, January 11, 10:00 - 11:30 AM - IN PERSON
Planning for Retirement, Saturday, January 11, 11:45 - 1:15 PM - IN PERSON
Creating an Effective Home Maintenance Plan, Monday, January 13, 6:00 PM - VIRTUAL
Money Habitudes, Tuesday, January 14, 6:00-7:30 PM - IN PERSON
Working with a Contractor, Wednesday, January 15, 6:00-7:30 PM - VIRTUAL
Hands-On Home Maintenance, Thursday, January 16, 6:00-7:30 PM SOLD OUT
Are You Properly Insured, Friday, January 17, 12:00-1:30 PM - VIRTUAL
Attendee #2
First Name
Last Name
Birthdate
Mobile Phone Number
2nd Person Email
HOUSEHOLD INFORMATION (We need to know who is living in your home.)
Is anyone else living with you in this household? (Do NOT include yourself or any other workshop attendee listed above.)
Yes
No
Other Household Member
Household Member Name
Household Member Birthdate
What is their relationship with you?
Child
Spouse
Non-married Partner
Other Relative
Not Related
Do you live in a CHT Property?
No
CHT Renter
CHT Co-op
CHT Homeowner
Define your Household type
Single Adult
Female-headed single parent
Male-headed single parent
Married-No dependents
Married-with dependents
Two or more unrelated adults
Other
Is anyone in your household disabled or have special needs?
Yes
No
Gross Annual Income (Combine the income of all members in your household)
Please enter a number without any commas.
Referred By
Another Person
Another Agency
Real Estate Agent
Lender
Agency Outreach
HUD Outreach
Other
Please tell us how you learned about this program.
Payment
I have read Champlain Housing Trust's
Privacy Policy
&
Conflict of Interest Statement
. I UNDERSTAND that the fee paid in NON-Refundable
Yes
Enter DISCOUNT CODE (if applicable)
Payment Amount
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