Department of Housing and Economic Development (HED)

Workforce Housing Program Mandatory Orientation Registration

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Orientation Date: *This question is required.

Applicant’s Name: *This question is required.

Co-Applicant’s Name:

Street Address: *This question is required.

City: *This question is required.

Zip/Postal Code: *This question is required.

Email Address: *This question is required. This question requires a valid email address.

Telephone: *This question is required.

1. What is your estimated annual gross household income? This question requires a valid currency format.

2. How many people live in your household?

3. Do you currently own a home?

4. Do you currently work in Palm Beach County? *This question is required.*In order to qualify, your company must be located in Palm Beach County, and the office you are assigned to must provide space for you in the County.

E-mail Disclaimer:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

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