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The HomeChoice Program

This survey is the first step to apply to be a part of Leech Lake Financial Services' HomeChoice Program.  After you complete the survey, one of our advisors will contact you by email or phone.

Click the button below to start.

Start

Question 1 of 15

First Name

Question 2 of 15

Last Name

Question 3 of 15

Phone Number

Question 4 of 15

Home address? (If you are in between homing please indicate that).

Question 5 of 15

Gender?

A

Male

B

Female

C

Non-binary

D

Transgender

E

Prefer not to say

F

Other

Question 6 of 15

Relationship Status?

A

Single

B

In a relationship

C

Married

D

Separated

E

Divorced

F

Widowed

G

Engaged

H

Domestic partnership/Civil union

I

Prefer not to say

Question 7 of 15

How did you hear about the HomeChoice Program?

A

LLFS Website

B

LLFS Facebook Page

C

Online

D

Newspaper

E

Radio

F

Friend/Family

G

Other

Question 8 of 15

Are you employed?

A

Yes

B

No

Question 9 of 15

If yes, where are you employed?  If no, indicate by typing '"N/A".

Question 10 of 15

How long have you worked at your current job?

A

Less than 1 year

B

1-2 years

C

3-5 years

D

6-10 years

E

11-15 years

F

More than 15 years

G

Unemployed

Question 11 of 15

What is your average income?

A

Under $20,000

B

$20,000 - $39,999

C

$40,000 - $59,999

D

$60,000 - $79,999

E

$80,000 - $99,999

F

$100,000 - $119,999

G

$120,000 - $149,999

H

$150,000 - $199,999

I

$200,000 and above

Question 12 of 15

What is your current credit score?

A

300 - 579

B

580 - 669

C

670 - 739

D

740 - 799

E

800 - 850

F

Unsure

Question 13 of 15

Do you rent or own a home?

A

Rent

B

Own

C

Neither

Question 14 of 15

Where are you looking to buy or build a home?
(The HomeChoice Program provides cost-saving opportunities and increased access to funding for building, buying existing, and remodeling houses within the Leech Lake reservation and extending out 25 miles in all directions from the reservation boundary.)

Question 15 of 15

Are you a first-time homebuyer or have not owned a home in the last 3 years?

A

Yes

B

No

Confirm and Submit