Hello, thank you for completing this Intake Form. AHP receives funding from the US Department of HUD, and they ask that we collect this information to ensure that we serve all households. The information is protected in our secure system, and is used for reporting purposes only. Please see our disclosure statements here.

IMPORTANT: By submitting this form, you 1) acknowledge that the housing counseling recommendations offered by your AHP Housing Adviser to help you achieve your goals represent the opinions of the Adviser based on the information presented by you, and 2) authorize AHP to pull your Trans Union credit report to review your credit file for the purposes of housing counseling. AHP will keep your report secure and a credit pull by AHP will not negatively impact your credit score. To complete the intake process, please send an email to staff@ahphome.org with only the first five digits of your social security number and your first initial and last name.

Name *

First Name

Last Name

Name (Co-owner)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Email *

What housing service are you interested in? *

I own a home and am interested in energy efficiency programs

I own a home and have questions about my existing mortgage

I own a home and am interested in Landlord Training programs

If you have questions about an existing mortgage, who is your lender?

How did you hear about AHP? *

Internet search

Lender

Friend or Co-worker

Family member

Other

If other, please specify

Total number in household, including yourself *

Does someone else own the home with you? *

Yes (If yes, please have that person complete a separate intake form)

What is your race? *

Are you Hispanic? *

Yes

Your Gender *

Male

Female

Other/Non-conforming

Your Date of Birth *

YYYY

Are you a Veteran? *

Yes

Are you Active Military?

Yes

If you need services in a language other than English, please indicate which language below

What is your Highest Level of Education? *

What is your Marital Status? *

What is your Total Household Income? *

Please provide the last 4 digits of your social security #

Thank you! To complete the process, please email staff@ahphome.org with only the first five digits of your social security # and your first initial and last name.

Reminder: To complete the intake process, please send an email to staff@ahphome.org with only the first five digits of your social security number and your first initial and last name.

255 Orange Street
Albany, NY 12210
(518) 434-1730

Office Hours:
Monday - Friday
8:30 AM - 5:00 PM

FIRST-TIME HOMEBUYERS

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Energy Efficiency

CLASSES

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Homebuyer Money Strategies
Homebuyer Education
Landlord Training

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