Homeownership Center Profile and Information Form

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Welcome! We look forward to working with you on your path to homeownership. 


CHN's Homeownership Center offers a suite of homeownership products and services, including: 
  • Homebuyer Education
  • 1:1 Homebuyer Coaching
  • Lending products
  • Access to real estate and homeownership experts
This form has two components: a Homeownership Profile and an information form. The Homeownership Profile will help our team understand your mortgage readiness so that your inquiry be routed to the homeownership expert most suited for your situation. 

We also ask general household information so that we can appropriately coach you towards your goal of homeownership. Everyone's situation is different and this information will help us understand yours. 

If you have questions or need assistance with this form, please call 216.325.1154.

This is not a loan application. The information provided in this form is used to ensure your Homeownership Coach can provide the best service possible based on your financial profile. 

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Contact and Demographic Details


In this section, please enter your most up to date contact information and demographic information.

CHN Housing Partners (CHN) is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all personal information shared verbally and/or in writing will be managed within ethical and legal consideration. Additionally, we want you to understand how we use the personal information we collect. Please carefully review this notice as it describes our policy regarding the collection and disclosure of your nonpublic, personal information.

The Participant (and additional participant, if applicable) should be an adult member of your household that will be able to represent, provide information for, and make decisions on behalf of your household. 
Participant Information














Enter date in MM/DD/YYYY format






Additional Participant Information







Enter date in MM/DD/YYYY format






This is not a loan application. The information provided in this form is used to ensure your Homeownership Coach can provide the best service possible based on your financial profile. 

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Current Income or Public Benefit Source

Enter the Household Member who this income belongs to


Provide the Job Title for Employment types, if applicable

Please take the total income you received in the last 30 days and multiply by 12 to determine your annual income:

Please estimate to the best of your ability. Our staff will review your documents and provide a full eligibility determination.

This is not a loan application. The information provided in this form is used to ensure your Homeownership Coach can provide the best service possible based on your financial profile. 

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Documentation is not required; however, the following items may be helpful to us as we work with you to create and then obtain your financial goals. 



This is not a loan application. The information provided in this form is used to ensure your Homeownership Coach can provide the best service possible based on your financial profile. 

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Homeownership Profile
Please note: completion and submission of this profile ensures CHN can route your inquiry to the right program/representative. This is NOT a loan application. 









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Please use the page numbers above to navigate to specific areas of the form
Privacy Policy


NOTE: If you have an impairment, disability, language barrier, or otherwise require an alternative means of completing this form or assessing information about housing counseling, please talk to your housing counselor about arranging alternative accommodations. 

 

CHN Housing Partners CHN) is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all personal information shared orally and/or in writing will be managed within ethical and legal consideration. Additionally, we want you to understand how we use the personal information we collect. Please carefully review this notice as it describes our policy regarding the collection and disclosure of your nonpublic, personal information.  

 

What is nonpublic, personal information?  

  • Information that identifies an individual personally and is not otherwise publicly available information, such as your Social Security Number or demographic data such as your race and ethnicity 

  • Includes personal financial information such as credit history, income, employment history, financial assets, bank account information and financial debts 

 

What personal information does CHN collect about you and from what sources? 

  • Information that you provide on applications, forms, emails, or verbally 

  • Information about your transactions with us, our affiliates, or others 

  • Information we receive from your creditors or employment references 

  • Credit Reports 

 

What categories of information do we disclose and to whom? 

We may disclose the following personal information to financial service providers (such as companies providing home mortgages) Federal, State, and nonprofit partners for program review, monitoring auditing, research, and/or oversight purposes, and/or any other pre-authorized individual and/or organization. The types of information we disclose are as follows:  

  • Information you provide on applications/forms or other forms of communication. This information may include your name, address, Social Security Number, employer, occupation, account numbers, assets, expenses, and income.  

  • Information about your transactions with us, our affiliates, or others; such as your account balance, monthly payment, payment history, and method of payment.  

  • Information we receive from a consumer credit reporting agency;, such as bureau reports, your credit and payment history, your credit scores, and/or your creditworthiness.  

  • We do not sell or rent your personal information to any outside entity.  

  • We may share anonymous, aggregated case file information; but this information may not be disclosed in a manner that may personally identify you in any way. This is done in order to evaluate our program, gather valuable research information, and/or design future programs.  

  • We may also disclose personal information about you to third parties as permitted by law or when required by a governmental authority 

 

How is your personal information secured?  

We restrict access to your nonpublic personal information to CHN employees who need to know that information in order to perform their housing counseling duties. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information; and we train our staff to safeguard client information and prevent unauthorized access, disclosure, or use.  

 

 

Opting out of certain disclosures 

You may direct CHN to not disclose your nonpublic, personal information to third partners (other than disclosures made to project partners, those permitted by law or required by governmental authorities). However, if you choose to opt out, we will not be able to answer any questions from your creditors, which may limit CHN’s ability to provide services such as foreclosure prevention counseling. If you choose to opt out, please call 216.881.8443 and advise that you wish to opt out of certain disclosures.  

 


Acknowledgement & Submit

I/we certify that all provided information is correct to the best of my knowledge and have received a copy of CHN's Privacy Policy. I/we authorize CHN Housing Partners to verify all information contained on this online form and to pull my credit report.

By typing my full name below, I hereby authorize CHN to release nonpublic personal information it obtains about me to any third parties necessary to provide me with the services I requested. I acknowledge that I have read and understand the above privacy practices. I understand I will receive a copy of all information submitted at the email address I provided on Page 2, "Participant E-mail Address".




This is not a loan application. The information provided in this form is used to ensure your Homeownership Coach can provide the best service possible based on your financial profile.