Welcome to LaCasa's expression of interest form


Thank you for your interest in LaCasa's Homeownership Counseling and Down Payment Assistance services. Please fill out the form by answering each question appropriately to help us gauge your homeownership readiness. When finished, click next, then submit to save your answers and complete the form.


Hover over the blue question marks to view helpful tips.

First Name

Last Name

Phone

Email Address

Birthdate

 (mm/dd/yyyy)

Gender

Ethnicity

Address

City

State

Zip Code