First Time Homebuyer - Spring 2018

Thank you for your interest in this community education free course! First Time Homebuyer will be held on Saturday, May 5, 2018, 8:30 am-5 pm at the Brewer-Hegeman Conference Center. Please complete the form below to register. If you have questions, please email communityed@uca.edu or call 501-450-3118. Thank you!

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* 1. Personal Information:

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Contact or Cell Phone:

Email Address:

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* 2. Are you:

UCA Current Student

UCA Faculty/Staff

UCA Retiree

UCA Alumni

Public

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* 3. In event of cancellation, may we text you?

Yes

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* 4. Would you like to receive important updates about your course via text message?

Yes

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* 5. Would you like to receive a newsletter?

Yes

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* 6. How did you hear about us?

Word of Mouth

Returning Participate

Booklet in Mail

Website

Social Media

Other (please specify)

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* 7. UCA would like to collect demographic Information to help us better serve our customers and event participants. These questions are voluntary and any information you provide will remain confidential and will only be used in aggregate form. Would you like to take a few moments to help us?

Yes

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* 8. What is your gender?

Female

Male

Prefer Not to Answer

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* 9. Please select the category that includes you age:

Under 18

18-24

25-34

35-44

45-54

55-64

65 or Above

Prefer Not to Answer

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* 10. Which of the following best describes you?

American Indian/Alaska Native

Asian

Black/African American

Hispanic/Latino

Native Hawaiian/Pacific Islander

White/Caucasian

Two or More Races

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* 11. What is the highest level of education you have completed?

Some high school

High school or equivalent (GED)

Some college

Trade/technical/vocational certificate

Associate degree

Bachelor's degree

Master's degree

Professional degree

Doctorate degree