• Participant One Information

  • Format: (000) 000-0000.
  • Authorize text messaging*
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*
  • Veteran*
  • Disabled*
  • Head of household*
  • Foreign Born*
  • Education*
  • Race*
  • Ethnicity*
  • Saw your credit report in the last year*
  • Do you know your credit score*
  • First Generation Homebuyer*
  • Are you registering a second person?*

  • Participant Two Information

  • Format: (000) 000-0000.
  • Authorize text messaging*
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*
  • Veteran*
  • Disabled*
  • Head of household*
  • Foreign Born*
  • Education*
  • Race*
  • Ethnicity*
  • Saw your credit report in the last year*
  • Do you know your credit score*
  • First Generation Homebuyer*

  • Household Information

  • Household Type*
  • Current Residence Type*
  • Planned Residence Type*
  • Referral Source*

  • Home Buying Status

  • Where are you in the home buying process?*
  • Are you working with a real-estate agent?*
  • Are you approved with a lender?*
  • Type of loan*
  • Have you made an offer or signed a purchase and sale agreement?*
  • Do you have a closing date?*
  • Closing date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Property type*
  • Is this a short sale property?*
  • Is this a bank-owned property?*
  • Did you have a home inspection?*
  • Type of loan for this property*

  • Permissions, Appointment, and Signatures

  • Is it okay to use your comments or photo in print or on our website?*
  • May we use your name?*
  • I/We would like to schedule an individual appointment with the Housing Counselor to review my/our credit report, budget, etc. and to further discuss my/our options?*

  • THANK YOU FOR COMPLETING THIS FORM

    • I/We authorize NewVue Communities to:
      • I/We understand that a photocopy of this authorization is as valid as the original.
      • Text messaging will primarily be used for class participation confirmation and appointment reminders.
      • NewVue Communities provides pre-purchase group and individual education for potential buyers looking to buy their first home. These
        services consist of a financial analysis, review of credit worthiness, budget consultation, mortgage readiness assessment, resources on
        financial mortgage loan products and referrals. NewVue Communities also provides mortgage default services, housing development services,
        small business services, community development services and asset management services. For a detailed list of the services please visit our
        website at www.newvuecommunities.org.
      • I/We understand that NewVue Communities receives funds through the Housing Urban Development (HUD), NeighborWorks America and
        Division of Banks (DOB) and as such, is required to share some of my/our personal information with program administrators or their agents for
        purposes of program monitoring, compliance and evaluation.
      • I/We give permission for HUD, NeighborWorks America and DOB program administrators and/or their agents to follow-up with me/us within
        the next three years for the purpose of program evaluation. This may include, but not limited to retrieving and reviewing client credit
        information and records, including credit reports, and to conduct follow-up interviews/communications with clients for program evaluation
        purposes.
    • Conflict of Interest / Disclosure
      • NewVue Communities does not receive any fee for service from any financial institutions to which we may refer you. NewVue
        Communities does receive charitable contributions from some financial institutions. For a complete list of donors please visit our
        website at www.newvuecommunities.org.
      • You are in no way obligated to receive any services offered by NewVue Communities or any of our partners. The staff and board of
        NewVue Communities does not have any personal stake, financial or otherwise, in referring clients to any particular product or
        service.
    • Acknowledgement
      • I have received the HUD FHA Get a Home Inspection for Your Protection handout and 10 important questions to ask the home
        inspector
      • I/We also certify that I/we have received a copy of the Privacy Policy and Practices of NewVue Communities.
  • Please review the attached documents: Client/Counselor Agreement; Disclosure; Privacy Policy; Third Party Authorization; For Your Protection, Get a Home Inspection; 10 Questions to Ask your Home Inspector; Fair Housing Equal Opportunity for All
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