JUMPSTART TIOGA

PARTICIPANT SURVEY

Complete the form below with as much detail as possible. Click the 'SUBMIT' button for advancement to the payment screens. Be sure to enter all information correctly as it is entered on the transaction receipt.

CONTACT INFORMATION

First name

Last name

Phone number

Address (MUST list city, state, zip code)

Select your preferred method of contact.

REGISTRATION INFORMATION

How many properties do you currently own (or have you owned)?

Describe your interest in real estate development/ investing.

Describe your prior real estate experience, if any.

Describe your connection to/ community interest in Tioga.

What do you hope to gain through participating in the Jumpstart Tioga Training Course?

What is your five year real estate investment goal?

Are you currently working on any real estate projects?

If selected for the program, have you identified a property/project for development?

If selected for the program, are you financially prepared (15% of total acquisition costs=purchase price+ rehab costs) to move forward with a project? *

Are you a real estate industry professional (i.e., realtor, contractor, property manager, etc.)?

Would you be open to partnership on a rehab project?

What is your goal upon graduation from this program?

DEMOGRAPHIC INFORMATION

Please submit a brief resume/bio here, or other information about yourself.

Please select a range for your total income.

Are you on the waitlist for any other Jumpstart Program?

Have you attended a Jumpstart Program elsewhere?

How did you hear about the Jumpstart Tioga program?

ENTER SIGNATURE BELOW Please complete the verification sections below and type your name in the box as an electronic signature . By clicking the submit button you are authenticating the information above and submitting your application for consideration.

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ENTER TODAY'S DATE HERE

Month

Day

Year

Course Registration Fee

$150

REGISTRATION IS A TWO STEP PROCESS. BE SURE TO COMPLETE THE PAYMENT SCREEN ON THE NEXT PAGE.

YOU WILL RECEIVE A CONFIRMATION EMAIL.

JUMPSTART TIOGA

PARTICIPANT SURVEY

CONTACT INFORMATION

REGISTRATION INFORMATION

DEMOGRAPHIC INFORMATION

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