Housing Counseling Services, Inc. Webinar Registration Form

Webinar Information
Please note that you will receive one e-mail per each course that you register for with further instructions to finalize your registration!  Also, you may only register for one course of each type at a time.  For example, if we are offering more than one Money Matters course, you may only register for one of them.


















































Applicant Information
Primary Applicant




Example: 01/01/1990. You must be at least 18 years old to register for a course.






Co-Applicant




Example: 01/01/1990. You must be at least 18 years old to register for a course.




Physical Address

If you currently do not have an address, please enter an address where you can receive mail.







Please include yourself and any other people who live in the house at least 50% of the time in this number.

Providing an accurate estimate of your annual income helps our staff to determine program eligibility. If you have no income, please enter 1 in the income field.







examples: loss of income, increased expenses, illness, etc.



If you do not receive any e-mails within 5 minutes of submitting this form, please check your junk folder.

Contact Information