Pre-Purchase Registration & Scholarship Form Pre-Purchase Trainings Pre-Purchase Counseling Training: Single Family Residential Property Step 1 of 5 20% Personal InformationAre you a NACA Member?(Required) Yes No NOTE: This course is NOT for NACA members needing to complete landlord training for qualification and your registration will be rejected. PLEASE go back and register for Fundamentals of Being a landlord (MEMBERS ONLY) course if you are taking this course for qualification requirements. You can also visit www.naca.com if you were trying to register for the Homebuyers Workshop. Please return to the course catalog and select Fundamentals of Being a Landlord to meet the necessary requirements.Name(Required) Mailing Address Please note If NO address is entered ALL materials will be shipped to your organization address.Phone(Required)Email(Required) Organization InformationIf you are employed by a HUD-approved housing counseling agency or you are an alumnus, staff member, student, or faculty member of one of our partnering HBCUs, please complete the organization information using the details of the agency you work for or the partnering HBCU with which you are affiliated.Organization Name(Required) Organization Address(Required) Phone(Required)Website(Required) Are you applying for a scholarship?(Required) Yes No By no, you understand that you are not applying for a scholarship and will receive an email with payment instructions within 72 hours. Scholarship ApplicationIf you work for a HUD Approved or partnering HBCU select HUD Scholarship. If you work for a Non-Profit apply for our in-house scholarship select NSC Scholarship.Scholarship Type(Required)SelectHUD Approved OrganizationAffiliate HBCUOther OrganizationHUD Agency ID Number(Required) If you work for a HUD Approved Counseling Agency, or afflicted with one of our partnering HBCU’s select HUD Scholarship. If you work for a Non-Profit Organization, select NSC Scholarship. HBCU Affiliation Type(Required) HBCU Student HBCU Alumni HBCU Faculty or Staff HBCU Identifier (Title, Student ID, Graduation Date)(Required) Provide one of the following for verification: your HBCU email, student ID# or the year you graduated if you are afflicted with and of the following HBCU’s: Allen University, Benedict College, Dillard University, Paul Quinn College, Shaw University or Virginia Union University. If NOT please go back and select another scholarship type.NSC Scholarship Request(Required)Please write a brief statement about your organization and its mission. Including why you believe you should be considered for this scholarship. and how receiving this scholarship will support your professional development and goals. Demographic InformationAre 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 December 2025 will automatically register you for a bonus course ***Acknowledgement(Required) By checking this box, you are confirming that you are NOT a NACA member needing to complete a Landlord Training for qualification.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.Optional FeedbackAt NSC/NEJAC we’re committed to offering trainings that meet your professional needs. Please share any topics or courses you would like us to consider developing for next year. We’d love your input and look forward to reading your suggestion. Let us know below.Help Us Plan Future Courses Financial Literacy Training Disaster Preparedness and Recovery Training Ethics and Professional Standards in Housing Counseling Other If you selected other, please type in your suggestion. E-Signature: Please type your full name below(Required) Date(Required) MM slash DD slash YYYY Δ