Class Registration Form

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Class Choice
Please note that if you sign up for a class on Zoom, you must be on-camera for the class duration to earn a certificate. If you are unfamiliar with Zoom, please test this before class. We will not be able to help you troubleshoot issues with camera/sound while we are teaching the class.

Please read: We close class registration within 24 hours of class start time. Please give us a call if you'd like to be registered for more than one class. After you complete this intake, call our offices and let us know all the classes you'd like to be registered for and we will register you so that you don't have to fill out multiple intake forms. 

Tenga en cuenta: We close class registration within 24 hours of class start time. Please give us a call if you'd like to be registered for more than one class. After you complete this intake, call our offices and let us know all the classes you'd like to be registered for and we will register you so that you don't have to fill out multiple intake forms. 
Contact Information









Housing Information


Living at your address. (Vivir en tu dirección.)

Children/people in your care. (Niños/personas bajo su cuidado.)


Personal Information






Income (Ingresos)
Please answer the following questions using gross income (before taxes).
Responda las siguientes preguntas utilizando el ingreso bruto (antes de impuestos).


We will not contact your employer unless we have your permission. (No nos pondremos en contacto con su empresa a menos que tengamos su permiso.)










Acknowledgements

Link for Privacy Policy and Program Disclosure are found here (El enlace para la Política de Privacidad y la Divulgación del Programa se encuentra aquí):
https://lacasainc.net/fec-privacy-and-program-disclosure/

I/We hereby certify that the above information is true and complete to the best of my/our knowledge. Lacasa is a HUD approved agency and member of NeighborWorks America Network. It is extremely important for us to track the number of class participants that purchase a property. The information we collect allows us to report the impact that our services have in our community as well as to fulfill grant requirements. Data collected in this intake is for informational purposes ONLY. Lacasa does not send marketing or publicity material of any kind. (El enlace para la Política de Privacidad y Divulgación del Programa se encuentra aquí: https://lacasainc.net/fec-privacy-and-program-disclosure/ Por la presente certifico/certificamos que la información anterior es verdadera y completa a mi leal saber y entender .

Lacasa es una agencia aprobada por HUD y miembro de NeighborWorks America Network. Es extremadamente importante para nosotros realizar un seguimiento del número de participantes en la clase que compran una propiedad. La información que recopilamos nos permite informar el impacto que nuestros servicios tienen en nuestra comunidad, así como cumplir con los requisitos de subvención. Los datos recopilados en esta ingesta son SÓLO para fines informativos. Lacasa no envía material de marketing o publicidad de ningún tipo.)

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