Get Ready for Homeownership
Billings Class Registration and Participant Information

“Homebuyer education classes are funded in part by the US Department of Housing and Urban Development, the Montana Board of Housing and NeighborWorks Montana.”

This registration is for Billings "Get Ready for Homeownership" only.

Please complete one registration per household. This information assists us in understanding who our services reach, and is also reported to funding agencies including HUD and Montana Homeownership Network, a state housing network partnered with homeWORD. There is a $10/person registration fee to cover the cost of materials. You can pay online using the "Click here to pay online" link on the class schedule page or mail your registration fee to the attention of Darrell LaMere, after registering and prior to attending the class to reserve your place. Thank you.

Date:

Which class are you signing up for? Please choose from the drop-down list:

Please call me for Individual appointment, my phone number is

 

Client 1 Profile

First Name: Last Name:

Address:

City: State: Zip: County:

Daytime Phone: Evening Phone:

Email:

Birthdate:

Age:

Race:

Ethnic Identity
Hispanic (Cuban, Mexican, Puerto Rican, Other): Yes No

*These ethnic and racial categorizations have been developed by the U.S. Office of Management and Budget and must be used by this agency when reporting to the U.S. Department of Housing and Urban Development.

Veteran: Yes No

Foreign Born: Yes No

Preferred Language

Head of Household (Do you file Head of Household on your taxes?): Yes No

Gender:

Client 2 Profile

First Name: Last Name:

Address:

City: State: Zip: County:

Daytime Phone: Evening Phone:

Email: (email optional, provide if you want occasional updates from homeWORD)

Birthdate:

Age:

Relationship to Client 1:

*These ethnic and racial categorizations have been developed by the U.S. Office of Management and Budget and must be used by this agency when reporting to the U.S. Department of Housing and Urban Development.

Race

Ethnic Identity
Hispanic (Cuban, Mexican, Puerto Rican, Other): Yes No

Veteran: Yes No

Foreign Born: Yes No

Preferred Language

Head of Household (Do you file Head of Household on your taxes?): Yes No

Gender:

Household Information

Information for the following fields is REQUIRED for reporting purposes to the U.S. Department of Housing and Urban Development.

Marital Status:

Household Type:

Are you a first-time homebuyer? Yes No

Current Housing Status:

Education - Client 1:

Education - Client 2:

Disability - Client 1:

Disability - Client 2:

Number of People in Household:

Number of adults:   Number of Children: Ages of Children:

Gross annual household income (before taxes for all household earners):

How did you find out about this class? Who referred you?

This is an electronically submitted form. By clicking "Submit," the form will go directly to our Class Registrar. Thank you.