COMMUNITY EDUCATION REGISTRATION FORM
COMMUNITY EDUCATION REGISTRATION FORM Please provide us with the following information. Information collected on this form is used by Virgin Islands Housing Finance Authority only and is not shared with any other organization. Please answer all questions completely. If you have any questions about this form or how we will use this information, please ask us. Print Full Name: Phone: Address and Apt/Unit Number: Date of Birth: City State Zip Code: Email: Demographic Information (collected for reporting purposes only) Check Household Type: Ethnicity □Hispanic □ Not Hispanic Estimated Annual Income (please circle one) Under $20,000 $20,001 - $40,000 $40,001 - $60,000 $60,001 - $80,000 $80,001 - $100,000 $100,001 or more Choose not to respond Choose not to respond Race American Indian/ Alaskan Native Asian Black/African American Number of persons in household # _____ 1st Time Homebuyer: Yes No Native Hawaiian/ Pacific Islander English Proficiency: Yes No Choose not to respond Active Military: Yes No Choose not to respond White Marital Status: Current Housing Status: More than one race Gen …
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