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

Once scholarship for travel and lodging reservation(s) has been confirmed and approved, any flights and/or lodging reservations that are cancelled, or no show will be subject to a cancellation fee at the full cost of the travel and accommodations booked. *** NSC will send you an email for the HUD Individual Certification Affordability Calculation Training when it is launched March 2025. ***

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