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What county do you currently live in?
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What type of programs or services are you interested in?
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Date of Birth
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Highest Education Level
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Active Military?
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Are you disabled or disabled dependent?
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What is your race?
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What is your ethnicity?
Indicates if you are Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
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Gender
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What is your English proficiency level?
Household is Limited English Proficient
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Are you a first-time homebuyer?
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Not applicable
What is the size of your household?
The number of people currently residing in your household (e.g. the number of people living in the house at the time service was provided).
Please enter a number from
0
to
50
.
What is your annual family or household income?
The household gross (pre-tax) income during the year as reflected in your loan or grant application.
Please enter a number from
0
to
500000
.
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