NSC / NEJAC Registration Form | NACA's Economic Justice & Advocacy Center

Personal Information

Name(Required)

First Last

Mailing Address (Required)(Required)

Phone(Required)

Email(Required)

Organization Information

Organization Type(Required)

Organization Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Website(Required)

Scholarship Application

If you work for a HUD Approved Non-Profit Counseling Organization, otherwise, select SELF-PAY. Registering for any of NSC Pre-Purchase Counseling Training by 2/15/2025 will auto enroll you into NSC HUD Individual Certification Affordability Calculation Training Spring 2025.

Pre-Purchase Counseling Training Dates(Required)

Training Dates

Scholarship Type(Required)

Online Training

Scholarship Eligibility Type(Required)

HCA

None of the above

HUD Agency ID Number(Required)

Demographic Information

Are you a person with a disability?(Required)

YES

NO

Do you live or work in a rural area?(Required)

YES

NO

Do you live or work in a low-income area?(Required)

YES

NO

Are you LEP (Limited English Proficient)?(Required)

YES

NO

If you selected yes, what language do you speak?

Disclaimer And Signature

***Registering for any of NSC courses before August 2025 will automatically register you for a bonus course on affordability calculations as a Thank you! ***

Disclaimer(Required)

By checking this box and providing my E-signature, I certify that the information provided is true and complete to the best of my knowledge.

E-Signature: Please type your full name below(Required)

Date(Required)

Pre-Purchase Counseling Training: Single Family Residential Property

Personal Information

Organization Information

Scholarship Application

Demographic Information

Disclaimer And Signature