Housing Development Affiliate Engagement Form
The information from this form will be shared publicly in our regional housing database to connect professionals and build capacity to increase housing opportunities. Professionals that support housing initiatives have a range of skills and may include developers, property managers, title companies, lenders, consultants and other organizations that provide technical support related to housing. 
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Company Name  *
Company Address
Contact Person *
Phone Number *
Email Address *
Website
Area Served (check all that apply) *
Required
If you answered "other" above, please list your area of service here.
Services Offered (check all that apply) *
Required
If you answered "other" above, please list the service offered here.
What type of housing do you specialize in? (check all that apply) *
Required
Do you have experience with or do you have plans to utilize any of the following for housing development? (check all that apply)  *
Required
If you answered "other" above, please list the housing tool/type here.
Project Portfolio (Please list at least two projects you have most recently been involved in, the scope of work and any other details you want us to know about)
Certifications and Awards
Additional Information you feel is relevant
Consent and Verification
Signature
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