Homebuyer's Education Class Intake Registration

1065 Pinehurst Drive | PO Box 4717 | Rocky Mount, NC 27803
Phone: 252.977.3141
Fax: 252.977.2587
Emergency After-Hours: 252.977.6223
Office Hours: Monday - Friday | 8:30 am - 5:00 pm

Fields marked with * must be filled out or form will not submit.

Please provide information about yourself (& Co-Applicant, if applicable).

If no Co-Applicant, put N/A or 0

After submitting this form, please complete the next form: www.rm-ha.org/homeownership-pre-eligibility-questionnaire