Fill out the form below to register for our free training event on October 20th, 2019 in Henderson, NV. Contact InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Branch InformationNID-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 NameTraining InstituteDate of TrainingDate of ArrivalDate of Departure