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Referral Program Form
Thank you for choosing Genesis Housing Services for your financial coaching/wealth building education and counseling.
Step 1: You will be assigned to a HUD Counselor who will assess where you are currently and determine your short and long-term financial goals.
Step 2: You and your Counselor will generate a customized "Action Plan" to help you reach your goals!
Step 3: On-going check-in and guidance to the realization of your goals.
Step 4: You will be ready to return to your referral source for the services you seek!
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Email
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Your email
Full Name
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Your answer
Phone Number
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Your answer
Full Address (Street, City, State, Zip Code)
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Your answer
Referred By: (Name and Company)
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Your answer
Primary Goal Type
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Goal to Purchase a Home
Goal to get Rental Housing
Build General Wealth
Start or Build a Business
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