Parkview HBC Registration Form
10AM - 3PM Please complete the information below.
Class Dates:
*
12/9/23
Name
*
First Name
Last Name
Gender
*
Female
Male
Won't Disclose
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail
*
Phone Number
*
Additional attendee names
Birthday
*
-
Month
-
Day
Year
Date
Race
*
-American Indian or Alaskan Native
-American Indian or Alaskan Native & Black or African American
-American Indian or Alaskan Native & White
-Asian
-Asian & White
-Black or African American
-Black or African American & White
-Choose not to respond
-Native Hawaiian or other Pacific Islander
-Other
-White
Ethnicity
*
-Hispanic
-Non-Hispanic
-Prefer not to say
Total Monthly Household Income
*
Total number of people in household
*
How'd you hear about the homebuyer class?
Where are you in the process?
*
Just started
I have been preapproved
Working with a realtor
In contract
Number of attendees
Please Select
1
2
3
4
5
Submit Application
June Lu
Home Loan Specialist
Should be Empty: