Contact Us

E-mail:  sshc.contact@gmail.com

Please complete the following form so that we can better serve you.

Name *

First

Last *

Last

Email *

Organization

Phone Number *

Select One

Home Cell Work

Best Time to Call

AM/PM AM PM

Address

City

State

Zip

Age *

Monthly Household Income *

Household Size *

Gender *

Female

Male

Non-Binary/Other

Prefer Not To Say

Race *

Black/African American

White/Caucasian

American Indian or Alaska Native

Asian

Other

Prefer Not To Say

Are you Hispanic or Latino? *

Yes

No

Prefer Not To Say

Are you homeless? *

Yes

No

Are you a veteran? *

Yes

No

Topic Please Select One Mortgage Delinquency / Foreclosure Assistance Counseling Pre-Purchase Home Buyer Counseling File A Complaint: Fair Housing / Fair Lending Discrimination Rental Referral Information Group Education & Outreach Services Fair Housing Law Training Affirmatively Furthering Fair Housing Workshop Volunteer Tester Program Grant Program Information & Availability Other

Message *

Captcha

(Map)

View Larger Map