2022 First-time Homebuyer Workshop Registration - Mt. Airy CDC

First Name: Last Name: Address: Address Line 2 City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip Code: - Zip Suffix Cell Phone: Email: Sex: Female Male Non-binary Prefer not to say Birth Date: / / Ethnicity: Hispanic Non-Hispanic Race: African-American African-American & White American Indian / Alaskan Native American Indian / Alaskan Native & African-American American Indian / Alaskan Native & White Asian Asian & White Native Hawaiian / Pacific Islander White Other Choose not to respond SS# (last 4 digits) Marital Status: Single Married Separated Divorced Widowed Household size (including yourself): Annual Household Income: Less than $18,590 $18,590 - 24,000 $24,001 - 30,000 $30,001 - 36,000 $36,001 - 42,000 $42,001 - 48,000 $48,000 - 60,000 $60,001 - 72,000 More than $72,000 Highest level of education: Grade school High school / GED Associate's degree Bachelor's degree Master's degree Ph. D / doctorate Are you a veteran? Yes No Are you currently a homeowner? Yes No Do you have a mortgage? Yes No Do you have a second mortgage? Yes No Are you currently shopping for a home? Yes No Have you talked to a lender about a mortgage? Yes No Have you ever been pre-approved for a mortgage? Yes No Have you ever purchased a home before? Yes No If you have purchased a home before and no longer have it, did you: Sell it Lose it to damage I still own it Other I've never purchased a home before When do you plan on purchasing a home? 0-6 months 7-12 months 1-2 years 2+ years Have you ever seen your credit report? Yes No If you have seen your credit score, what is it? 580-669 670-739 740-799 800-850 I do not know my current credit score How did you hear about this workshop? Word of mouth Social media (Facebook, Instagram, Twitter, etc.) Poster or flyer Email newsletter Mt. Airy CDC website Germantown United CDC website City of Philadelphia PHFA or other government agency Other