Below is a sample of the emails you can expect to receive when signed up to lccr.
Data Name | Data Type | Options |
---|---|---|
Text Box | ||
First name | Text Box | |
Last name | Text Box | |
Password | Text Box | |
Text Box | ||
Phone (home) | Text Box | |
Phone (mobile) | Text Box | |
Phone | Text Box | |
Home address | Text Box | |
State | Text Box | |
County | Text Box | |
Zipcode | Text Box | |
Password (confirm) | Text Box | |
Middle name | Text Box | |
Gender | Text Box | |
checklist | ||
button | ||
County | dropdown | Please select... |
Preferred Phone | dropdown | Please select... |
Preferred Email | dropdown | Please select... |
Marital Status | dropdown | Please select... |
Highest level of education? | dropdown | Please select... |
Race | dropdown | Please select... |
Primary language (if other than English) | dropdown | Please select... |
Gender | dropdown | Please select... |
Sexual Orientation | dropdown | Please select... |
checklist | Please select... Straight/Heterosexual Bisexual Gay/Lesbian/Same-Gender Loving Questioning/Unsure Decline to State Other | |
checklist | I identify as LGBTQIf yes, please check the box. | |
checklist | I identify as a member of a minority groupIf yes, please check the box. | |
checklist | ||
dropdown | Please select... | |
dropdown | Please select... | |
dropdown | Please select... | |
dropdown | Please select... | |
dropdown | Please select... | |
checklist | ||
checklist | Employs at-risk individuals | |
checklist | Employs immigrants | |
checklist | Employs low-skilled workers | |
checklist | Employs minorities | |
checklist | Employs people with disabilities | |
checklist | Employs re-entry/arrest/convictions | |
dropdown | Please select... | |
checklist | ||
checklist | Do you have a receipt for your last rent payment?If yes, please check the box. | |
checklist | ||
checklist | Does your lease have attachments (such as exhibits or notations of changes made after signing)?If yes, please check the box. | |
checklist | Have you received a notice/letter from your landlord or a court?If yes, please check the box. | |
dropdown | Please select... | |
checklist | Please select... Landlord Property Manager Another Tenant | |
checklist | I currently have access to my leased space.If yes, please check the box. | |
dropdown | Please select... | |
dropdown | Please select... | |
checklist | ||
file | ||
file | ||
checklist | Business Plan and/or Resume | |
checklist | Business Plan | |
file | ||
file | ||
dropdown | Please select... | |
file |