Student Registration – Finally Home! In-Person Courses

State and County of Purchase*

Student Name*

First Last

Do you have a co-borrower who will be taking Finally Home! with you?*

If you are taking the course with a co-borrower their information must be provided during registration.

Yes
No

Co-Borrower Name*

First Last

Email*

Password*

Enter Password Confirm Password

Current Mailing Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Age*

Gender*

Male
Female
Non-Binary
Choose not to respond

Gross Annual Income*

(Gross annual household income is the total amount of income you and any co-borrowers make together, before paying taxes.) Please make sure and input your total income for the year, not your monthly income.

Please enter a number greater than or equal to 10000.

Ethnicity (check one)*

Hispanic
Not Hispanic
Choose not to respond

Race*

Single Race
Mutli-Race
Choose not to respond

Single Race*

American Indian/Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Multi-Race*

American Indian or Alaska Native and White
Asian and White
Black or African American and White
American Indian or Alaska Native and Black or African American
Other Multiple Race

Do you currently live in a rural area? Is your current property address in a town that has less than 10,000 residents?*

Yes
No
Choose not to respond

Is English the primary language that you speak within your home?*

Yes
No
Choose not to respond

Income Certification*

I certify that the household income and other information supplied is accurate.

Name

This field is for validation purposes and should be left unchanged.