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Section 1: Registration

Locations and Time:
ClearWater Arts Center and Studios
223 Crowell Dr. NW
Concord, NC 28025

or

Miller Teen Recreation Center
1402 West Bank Street
Salisbury, NC 28144

Date: April 8, 2025
Time: 6:00 - 7:30 pm


Please arrive the location your choose or sign-in to Zoom by 5:45 pm to get signed in. Have paper and pen available for notes.

We look forward to assisting you.


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* 1. Participant Information - Please include First and Last name

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* 2. Co-participant Information - Please provide First and Last Name

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* 3. Which location will you be attending?

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* 4. Are you interested in home purchase?

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* 5. Are you currently working with a realtor?

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* 6. Are you currently working with a lender (if purchasing) or servicer (if needing help for foreclosure prevention)?

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* 7. Marital Status:

  Married Divorced Separated Never Been Married Widowed Domestic Partner
Participant

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* 8. Marital Status:

  Married Divorced Separated Never Been Married Widowed Domestic Partner
Co-Participant

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* 9. Do you need to schedule a one-on-one counseling session? Please Read This Carefully - NOTE: This is a requirement if you would like to be assess for down payment assistance funds, WeBuild's homes, need help in finding the right lending institution or need help to save a home.

The counseling will also assess your mortgage and homeownership-readiness and give you guidance on how to get to "Yes" from a lender/servicer.

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* 10. Number of people in your household:

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* 11. Date of Birth - Participant

Date

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* 12. Date of Birth - Co-participant

Date

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* 13. Which race/ethnicity best describes you? (Please choose only one.)

  American Indian or Alaskan Native Asian/Pacific Islander Black or African American Hispanic White/Caucasian Choose Not to Respond
Participant
Co-Participant

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* 14. What is your citizenship status? (Please choose only one.)

  US Citizens DACA Permanent Resident Alien
Participant
Co-Participant

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* 15. Rural Area Status:

  Household lives in a rural area Household does not live in a rural area
Participant
Co-Participant

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* 16. Ethnicity Type:

  Hispanic/Latino Not Hispanic/Latino Choose Not to Answer
Participant
Co-Participant

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* 17. Limited English Proficiency Status:

  Household is Limited English Proficiency Household is not Limited English Proficiency
Participant
Co-Participant

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* 18. Preferred Language

  English Spanish
Participant
Co-Participant

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* 19. Employment Information - Participant

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* 20. Employment Information - Co-Participant

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* 21. Acknowledgement: I am aware that this is an introduction to the homebuying, credit awareness and foreclosure prevention processes only.

  Agree
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Co-Participant
0 of 21 answered
 

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