Name *

First Name

Last Name

Phone *

(###)

###

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Do you have a child living in your household? *

Yes

No

I verify my household income meets the RFF requirements. *

I agree

I disagree

I verify my household has a steady income and can provide pay stubs/tax returns upon request. *

I agree

I disagree

I verify we have not filed for bankruptcy in the past 2 years. *

I agree

I disagree

I understand we will have a mortgage payment. *

I agree

I disagree

I understand we will have to put in the work with sweat equity and maintain classes as a requirement. *

I agree

I disagree

I verify that my family has a need for RFF. *

I agree

I disagree