Training Registration

Fill out the form below to register for our free training event on October 20th, 2019 in Henderson, NV.

Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Branch Information
NID-HCA Branch Name*
Are you an NID Branch Manager or NID Housing Counselor*
- Yes
- No
Best Point of Contact*
First Last
Number of NID Counselors*
Please enter a number greater than or equal to 0.
HECM Approved?*
- Yes
- No
Passed HUD Exam*
- Yes
- No
List of housing counseling trainings within the last 12 months.
Course Name Training Institute Date of Training Date of Arrival Date of Departure

HID Housing Counseling Agency

A HUD Approved Organization

Course Name	Training Institute	Date of Training	Date of Arrival	Date of Departure