HomeChoice Program Assessment Complete the assessment below to help Leech Lake Financial Services learn more about your current situation and homeownership goals. HomeChoice Assessment Thank you for your interest in the HomeChoice Program. This assessment will help Leech Lake Financial Services learn more about your current situation and homeownership goals. Please answer each question to the best of your ability. Your responses will be reviewed by LLFS staff and used to help identify possible next steps. This assessment is not a loan application, approval, or guarantee of program eligibility. Please do not provide Social Security numbers, bank account information, or financial documents through this form. First NameLast NameEmailPhone/MobileAddress? (If you are in between homes, please indicate that.)Address Line 1CityStateZip CodeGender Male Female Non-Binary Transgender Prefer not to say OtherRelationship Status– Select –SingleIn a relationshipMarriedSeparatedDivorcedWidowedEngagedDomestic partnership/Civil unionPrefer not to sayHow did you hear about the HomeChoice Program? LLFS Website LLFS Facebook Page Online Newspaper Radio Friend/Family OtherAre you employed? Yes NoIf yes, where are you employed? If no, indicate by typing “N/A”.How long have you worked at your current job?– Select –Less than 1 year1-2 years3-5 years6-10 years11-15 yearsMore than 15 yearsUnemployedWhat is your average income?– Select –Under $20,000$20,000 – $39,999$40,000 – $59,999$60,000 – $79,999$80,000 – $99,999$100,000 – $119,999$120,000 – $149,999$150,000 – $199,999$200,000 and aboveWhat is your current credit score?– Select –300 – 579580 – 669670 – 739740 – 799800 – 850UnsureDo you rent or own a home? Rent Own NeitherWhere are you looking to buy or build a home?Are you a first-time homebuyer or have not owned a home in the last 3 years? Yes NoAcknowledgment I understand that this assessment is not a loan application, approval, or guarantee of program eligibility. I authorize LLFS to contact me regarding the HomeChoice Program and possible next steps.Submit HomeChoice Assessment
