Housing Access & Sustainability Services Contact Form

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Please complete the details below and a member of our team will follow up with you in the next 1-3 business days. For questions about housing workshops, contact Marlo Payne at marlo.payne@ywcachicago.org.

Registration ends the day prior to the workshop at 5pm

I am interested in attending the following workshop(s)...

Homebuyer Education Workshops

Post-Purchase Homeowner Workshop

Foreclosure Prevention Workshops

Financial Management Workshops

Contact Information

First Name*

Email Address*

Last Name*

Home Phone*

Address, line 1*

Address, line 2

City*

Ward Number*

Find your Ward number: HERE (or input if you know)

State*

Who referred you to our services?

Zip Code*

The following questions are for reporting purposes only and will be kept anonymous.

Date of Birth*

How many people, including yourself, live in your household?*

Estimated Household Income*

Are you disabled?*

What is your household's level of English proficiency?*

What is your race?*

Describe your household type.*

Marital Status*

Military Status*

What is your ethnicity?*

Immigration Status*

Highest Level of Education*

Housing Status*

The Housing Access & Sustainability Services is a HUD-approved, comprehensive housing counseling program. We served ALL clients regardless of income, race, color, religion/creed, sex, national origin, age, family status, disability, or sexual orientation/gender identity. We administer our programs with local, state, and federal anti-discrimination laws. As a housing counseling program participant, you are not obligated to use the products or services of our program or partners.

By hitting the submit button below, you are confirming that you have reviewed this electronic disclosure from YWCA Metropolitan Chicago and agree to have your information retained for use by this program to provide the services inquired about above.

We will never share your email address. Ever.