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Master It Registration Form

Your road to financial success is beginning now when you register for one of our Master It Series classes.

Lacasa Master It Class Registration Form

Class Information

REGISTRATION INFORMATION:

If the class start date is within 24 hours of today's date, pick the next available class date.
To register for multiple classes, complete this form, then call our office.
A new intake form is required if your next class is more than one month after your last

ZOOM CLASS REQUIREMENTS:

In order to earn a certificate, you must be on-camera for the class duration.
Please test your camera and sound before class — we can’t troubleshoot during the session.

Choose Class Name

Class Start Date

Record type

Program

Contact Information

Name

Last Name

Telephone

House Number

Enter just the number on your house eg. 2113

Street Name

Eg. S. 6th Street

City

State

Zip

Housing Information

Years Living at this Address

Number of People in Household?

Living at your address.

Number of Dependents?

Children/people in your care.

Living Arrangement

Personal Information

Birthdate
MM/DD/YYYY

Gender

Marital Status

Education

Ethnicity

Race

Income

Please answer the following questions using gross income (before taxes).

Are you employed?

Name of employer and your position title?

We will not contact your employer unless we have your permission.

Your yearly income? Including wages, public assistance, SSI, child support, etc.

Your HOUSEHOLD yearly income? Include all adult household members.

Annual Median Income Level

Use the table on https://lacasainc.net/incomelimits/ and choose the range from the list below.

"Household of #" is the answer in "Number of People in Household"
"Income" amount is "Your Household Yearly Income"

Annual Median Income Level

Do you know your credit score?

YesNo

If you answered yes, what is it?

Acknowledgements

How did you hear about us?

Link for Privacy Policy and Program Disclosure are found here (El enlace para la Política de Privacidad y la Divulgación del Programa se encuentra aquí):
https://lacasainc.net/fec-privacy-and-program-disclosure/

I/We hereby certify that the above information is true and complete to the best of my/our knowledge. Lacasa is a HUD approved agency and member of NeighborWorks America Network. It is extremely important for us to track the number of class participants that purchase a property. The information we collect allows us to report the impact that our services have in our community as well as to fulfill grant requirements. Data collected in this intake is for informational purposes ONLY. Lacasa does not send marketing or publicity material of any kind. (El enlace para la Política de Privacidad y Divulgación del Programa se encuentra aquí: https://lacasainc.net/fec-privacy-and-program-disclosure/ Por la presente certifico/certificamos que la información anterior es verdadera y completa a mi leal saber y entender .

I have read and accept the Privacy Policy and Program Disclosure.

I agree