REGISTRATION FORM

 

The American Dream: Is Homeownership For You?

 

Click here for class details.

 

The following information helps us better understand our customers so we can better serve you.  It is completely confidential and will only be used by HomeSight to ensure that our programs meet your need

Applicant Full Name:              

          Co-Applicant Full Name:          

        Street Address:                      

          City / State / Zip Code:                 

          Home Phone:                         

          Work Phone:                          

          Email:                                    

          Household Size:                       

          Household Annual Income:      

            Or

          Household Monthly Income:    

          Jurisdiction interested in:        

          How you heard about us:       

                  Gender:

                        Male

                        Female

                   Race:                         

                   Ethnicity:

                        Non Hispanic

                        Cuban

                        Mexican / Chicano

                        Puerto Rican

                        Other

                   Household Type:                       

          Class Dates:    

          Comments:

                                                (if you have special needs or require translation, please specify)

         

                                       

 

 

HomeSight  2001

5117 Rainier Ave. S. Seattle, WA  98118

(206) 723.4355 or toll free (888) 749.4663

 

We are an Equal Housing Opportunity Provider

 

Last modified: 04/30/08