HomEase

General Interest Form

Thank you for your interest in HomEase. Completing this notice does not lock you into completing the testing period. Upon filling out this form, Filene will reach out to you about the program in greater detail.

Name of person filling out this form*

First Name

Last Name

Credit union name (Please spell out)*

Contact title of person filling out this form.*

Contact e-mail address of person filling out this form*

Contact phone number of person filling out this form*

If you have any questions during this process, please contact

Marnie Renteria at 608.661.3748 or via email at marnier@filene.org.

thanks to the generous support of

Pre-Qualify Call

Not Complete Complete

Information about your organization

Feel free to save and return with the information below using the link below.

Total assets ($ millions)*

Approximate number of members*

Approximate number of first mortgage originations per year*

Average mortgage underwriting/escrow timeframe (in days)*

Core processing system*

Mortgage application/origination system you are currently using.*

Do you have the ability to track the number of times a particular member calls in regarding mortgage questions?*

Yes No

Will you be the primary contact if chosen for the prototype test?*

Yes No

Name of primary contact

First Name

Last Name

Title of primary contact

E-mail address of primary contact

Phone number of primary contact.

Campaign ID*

Engagement Subject

If you have any questions during this process, please contact

Marnie Renteria at 608.661.3748 or via email at marnier@filene.org.

thanks to the generous support of