Where

This is an online event.

Contact

Adriana Ames, Education Director
Fair Housing Advocates of Northern California
adriana@fairhousingnorcal.org

Pre-purchase Workshop Online Series: October 27 & 28, 2021

*IMPORTANT: Please use this form for ONE person only. Each member of the household needs to register individually, if seeking a certificate. You will receive a Zoom invitation to the workshop prior to the meeting. (Each day has its own Zoom link.)

* Required information

Personal Information (Please make sure your name is spelled correctly for the HUD certificate):

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    English language proficiency level:

Demographic and Other Information:

  • Please provide the following information. This information will be used only to collect aggregate data required by our funders. Thank you for your cooperation.

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    How would you describe yourself?

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    Ethnicity:

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    Gender:

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    Educational level:

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    What is your total household annual income?

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    Employment status:

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    Application role:

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    What is your household size?

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    Marital status

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    Are you a veteran?

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    Are you a senior citizen (over 62 years old)?

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    Are you disabled?

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    How did you hear about us?

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    Do you live in a rural area?

We appreciate your acknowledgment of the following requirements to obtain a HUD certificate:

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    Please read the disclosure statement provided on the email or the website event listing and check the box to confirm you have read it. (http://www.fairhousingnorcal.org/disclosure.html)

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    I understand that I need to participate in the class activities, break-out sessions and polls.

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    I understand that I need to attend both workshop sessions in their entirety. For any special needs, please contact us.

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    I am responsible for making any necessary arrangements (for example, childcare) ahead of time in order to attend the entire workshop.


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