Housing Counselor Registration

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Are you a counselor that has passed the certification exam? Yes
Have you been assigned as an FHA Connection Application Coordinator for the housing counseling agency that employs you? Yes		If yes, please enter your agency ID: Search the map online

First Name:
Middle Initial:
Last Name:
Social Security Number:	- -
Telephone Number:	- -

Provide your e-mail address.

Include your e-mail user name, the @ sign and [servicename.com/edu/org/net/etc.]. For example: jsmith@aol.com, johndoe@adv.org, hfdb84a@prodigy.com

E-mail Address:
Re-enter E-mail Address for Verification:

Choose a Password.

You will enter your password each time you use this service. Your password must be 8 characters in length and have at least one uppercase letter, one number,
and one special character. Important: At your first sign on to the FHA Connection, you will need to enter the password you record on this registration form EXACTLY as you typed it, e.g.,with upper and lower case letters, etc.

	Password:
	Re-enter Password for Verification:

Mother's Maiden Name.

Please provide this information for future verification when processing password reset requests.

Mother's Maiden Name: