ReBUILD Metro

Community-Driven Revitalization Without Displacement

Path to Own Registration

Thank you for your interest in our Path to Own Program. Please complete this form to help us understand your needs and determine eligibility for program services. All information will be kept confidential.

Section 1: Contact Information

Name(Required)
MM slash DD slash YYYY
Address(Required)

Section 2: Household Information

Section 3: Income & Employment

12. Primary Source(s) of Income (check all that apply)

Section 4: Homeownership Status

14. Have you owned a home in the past three (3) years?

Section 5: Credit & Financial Readiness

(This information helps us determine what services may be most helpful. You are not required to know exact numbers.)
18. Have you previously completed a homebuyer education course?

Section 6: Homebuying Goals

20. Where are you interested in purchasing a home?

Section 7: Program Awareness & Support Needs

Section 8: Demographic Information – This information is voluntary and used for reporting purposes only.

Section 9: Consent & Certification

26. Consent to Be Contacted
I consent to be contacted regarding program eligibility, services, and related opportunities.
25. Certification
I certify that the information provided is true and accurate to the best of my knowledge.