Home About Us Services Make Payments Event Registration Headlines Jobs Contact Us After completing this form indicating your interest in NeighborWorks Waco's Housing and Credit Counseling programs, you will be contacted by a counselor from our office to set an appointment time. We look forward to meeting with you! NeighborWorks Homeownership Application Fields marked with an * are required Application for Homeownership Counseling How did you hear about us? Newspaper Radio Realtor Lender Internet Brochure Walk-in Other Primary Applicant Information Primary Applicant First Name * Phone * Primary Applicant Last Name * Email Address * City * Zip * Social Security Number * Gender * Male Female Date of Birth * Race * White African American Asian American Indian/Alaskan Native Native Hawaiian or Other Pacific Islander Other Multiple Race Choose Not to Respond Marital Status * Single Married Other Choose Not to Answer Education Level * Some High School High School Diploma/GED Some College Associate's Degree/2-year Degree Bachelor's Degree Post-Graduate Degree Please check ALL that apply: First-Time Homebuyer Hispanic Active Military Veteran Disabled Household Information ANNUAL Household Income * Number in Household * Ages in Household * Applicant Employment Information PRESENT Employer * Present Employer Phone Number * Hire Date * Occupation * Gross MONTHLY Income (before taxes) * Hours Worked * Full Time Part Time PREVIOUS Employer Previous Employer Phone Number Hire Date Occupation Gross MONTHLY Income (before taxes) Hours Worked Full Time Part Time Household Rental Information Present Landlords Name * Length of Residence (please label months or years) * Monthly Rent Payment * Landlords Contact Address * Landlords Phone Number * Co-Applicant Information Co-Applicant First Name Co-Applicant Last Name Co-Applicant Social Security Number Phone Email Gender Male Female Date of Birth Education Level Some High School High School Diploma/GED Some College Associate's Degree/2-year Degree Bachelor's Degree Post-Graduate Degree Marital Status Single Married Other Choose Not to Answer Race White African American Asian American Indian/Alaskan Native Native Hawaiian or Other Pacific Islander Other Multiple Race Choose Not to Respond Relationship to Applicant Please check ALL that apply: First-Time Homebuyer Hispanic Active Military Veteran Disabled Co-Applicant Employment Information Co-Applicant Present Employer Occupation Employer Phone Number Gross Monthly Income (before taxes) Hire Date Hours Worked Part Time Full Time Co-Applicant Present Employer Occupation Employer Phone Number Gross Monthly Income (before taxes) Hire Date Hours Worked Copy Part Time Full Time Financial Information Checking Account? Name of Bank Current Estimated Balance Savings Account? Name of Bank Current Estimated Balance Other Account? Name of Bank Current Estimated Balance Other Account? Name of Bank Current Estimated Balance Additional Income Additional Income Please describe any additional income information the applicant, co-applicant, or any dependents that may receive any income other than what has already been listed on the application. This is your authority to verify my bank accounts, employment, and outstanding debt, including any present or previous mortgages, to order a consumer credit report, and to make any other inquiries pertaining to my qualification for a mortgage loan. You may make copies of this letter for distribution to any party with whom I have a financial or credit relationship and that party may treat such copy as an original. This further gives you authority to obtain a copy of my Closing Disclosures from the Title Company, mortgage lender, or myself. PRIVACY ACT NOTICE: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not, your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA): by 42 USC, Section 145b (if HUD/CPD): and Title 42 USC, 1472 et. seq. or 7 USC, 1921 et. seq. (if USDA/ FmHA). By typing my name below, I(we) are acknowledging the above statement and giving NeighborWorks Waco permission to verify and receive the above information. I (we) accept, acknowledge, and approve the above information. * Primary Applicant - Type Full Name to Acknowledge * Co-Applicant - Type Full Name to Acknowledge Thank you for completing our application! After you click the submit button, you'll be taken to our payment system. Please note there is a credit report fee with this application - $20 for one applicant or $40 for two applicants. Once we receive your application and payment, a housing counselor will call to set-up an appointment time with you within 5 business days. © 2017 NeighborWorks Waco