Housing Counseling Interest Form
Thank you for your interest in one-on-one housing counseling with Magnolia Medical Foundation. Please take a few moments to let me know us know about you and your goals! One of our housing counselors will follow up with you shortly.
Best times to reach you?
Preferred Method of Communication
Street Address Line 2
State / Province
Postal / Zip Code
Please mark the type of housing counseling you are seeking. (Check All That Apply)
Down Payment Programs
We currently offer virtual housing counseling on weekdays and select Saturdays. Please list the general dates and times that you will be available for housing counseling services (ex. Mondays & Wednesdays 3-8 pm).
What are 1-3 housing goals you want to achieve in the next 3-6 months?
How motivated and ready do you feel to start working on your goals? (5 is the most motivated)
How did you hear about our services?
We offer our housing counseling services at no cost to the community. Please provide the names and contact of those that you believe would like to refer to benefit from our services.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform