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* 1. Applicant Name:

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* 2. Best Phone Number:

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* 3. Additional Phone Number:

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* 4. Email Address:

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* 5. Spouse (if applying as a couple) Name:

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* 6. Spouse Phone Number:

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* 7. Spouse Additional Phone Number:

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* 8. Spouse Email Address:

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* 9. Current Home Address:

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* 10. City:

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* 11. State:

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* 12. Zip:

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* 13. What is your age?

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* 14. Gender?

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* 15. Ethnicity?

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* 16. Highest Education Level?

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* 17. Are you available Monday evenings after 5pm to attend classes?

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* 18. Are you available Tuesday evenings after 5pm to attend classes?

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* 19. Can you commit to a 8 week program?

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* 20. If no, then how long?

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* 21. How many are in your family?

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* 22. What is your household's monthly income?

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* 23. What is your household's annual income?

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* 24. If married, are you separated from a spouse?

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* 25. Have you or your spouse owned a home in the past 5 years?

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* 26. Have you ever owned a home in Oklahoma? 

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* 27. Did you file income tax returns for 2019 and 2020?

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* 28. If No, do you have an Award Letter verifying other income (SSI, retirement, child support, etc.)

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* 29. Have you been a resident of Tulsa County for at least one year?

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* 30. Are you and your spouse U.S. Citizens or do you have legal Permanent Residency?

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* 31. Do you currently have at least $1,000 in savings to go toward the closing of a home?

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* 32. Are you intending to buy a home in North Tulsa?

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* 33. Do you have any unpaid or outstanding financial judgments filed against you?

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* 34. Have you filed for bankruptcy in the past 7 years?

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* 35. Total Household Income 2019

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* 36. Total Household Income in 2020

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* 37. How long have you lived at your current home address?

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* 38. Have you had a property foreclosed in the past 7 years?

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* 39. Current position/job title?

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* 40. Have you been at your current job for at least 2 years?

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* 41. In order to complete this application, please upload your 2020 W-2s, Tax Returns and Pay Stubs, and relevant documents to the portal link provided.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 42. Do you consent to a credit/background check to be performed after completion of this application?

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* 43. Please print name below for signature.

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* 44. DATE

Date

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* 45. Please print name below for signature of spouse (If Applicable).

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* 46. DATE

Date
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 100% of survey complete.

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