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Navicore Solutions Sign Up Information

Last Updated:

7/12/2020

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Email Address

Your Name

First Name, Last Name

Your Address

Home Address, City, State, Zipcode

Phone Number

Mobile Phone, Phone

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Navicore Solutions.

Your Navicore Solutions Accoun...
Your Navicore Solutions Accoun...


BAE Systems Email Encryption Registration Invitation
From	<counseling@novadebt.org>
To	<@>
Date/Time	Mon, 13 Jul 2020 09:44:30 -0400
Subject	Your Navicore Solutions Account - 1969194
Notification	You have a secure email message waiting for you. Our records indicate that the email address listed above is not currently registered with MailSafe. Registration is required before viewing this secure email. Please click on the registration link below to begin the registration process. If you have already registered, please go directly to the login page. Not a registered user? Click here to register and begin using the Email Encryption service. -- If you are experiencing problems with this system please contact the system administrator from the sending email domain.

Raw Data Registration Structure Registration Form Text

Registration

Phone Type

First name

Last name

Phone (mobile)

Phone

Home address

City

State

Zipcode

State

Please select...

Phone Type

Please select...

Yes

Please select... Home Work Cell Other May we leave a message?

Yes

Phone Type

Please select...

Yes

Please select... Home Work Cell Other May we leave a message?

Yes

Language Preference

Please select...

Marital Status

Please select...

How did you hear about us?

Please select...

Which service are you interested in?

Please select...

How many people live in your household?

Please select...

What is your current housing status?

Please select...

What type of loan do you have?

Please select...

Yes

Do you have a second mortgage?

Yes

N/A

Yes

Are your property taxes included in your mortgage payment?

Yes

N/A

Yes

Is your homeowners insurance included in your mortgage payment?

Yes

N/A

Yes

Do you have homeowners association (HOA) dues?

Yes

Do you bundle your cable, phone and internet services?

Yes

I do not have these services

How many vehicles do you own?

Please select...

Yes

Medical and Insurances Is your medical insurance deducted from your paycheck?

Yes

I do not have medical insurance

Yes

Do you have a life insurance policy?

Yes

What type of life insurance policy is it?

Please select...

Yes

Do you have any outstanding medical or dental bills?

Yes

Do you pay child support or alimony?

Yes

Did you receive a tax refund last year?

Yes

Reduced Income

Reason you are seeking assistance Please choose one or more events below which may have caused you to fall behind:

Unemployment

Reduced Income

Family Member Death

Unemployment

Attorney Fees

Family Member Death

Divorce or Separation

Attorney Fees

Medical Expenses

Divorce or Separation

Car Repairs

Medical Expenses

Home Repairs

Car Repairs

Pregnancy/Maternity Leave

Home Repairs

Military Service

Pregnancy/Maternity Leave

Confidential Matter

Military Service

Employment Transfer

Confidential Matter

Incarceration

Employment Transfer

Yes

Are you behind with your mortgage payments?

Yes

N/A

How far behind are these payments?

Please select...

Yes

Please select... 1-2 Months 2-3 Months 3-4 Months 4-5 Months 5-6 Months Over 6 Months Were you previously enrolled in a Debt Management Program with Navicore Solutions?

Yes

Not Sure

Data Name	Data Type	Options
Phone Type	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
Phone (mobile)	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
State	dropdown	Please select...
Phone Type	dropdown	Please select...
Yes	option	Please select... Home Work Cell Other May we leave a message?
No	option	Yes
Phone Type	dropdown	Please select...
Yes	option	Please select... Home Work Cell Other May we leave a message?
No	option	Yes
Language Preference	dropdown	Please select...
Marital Status	dropdown	Please select...
How did you hear about us?	dropdown	Please select...
Which service are you interested in?	dropdown	Please select...
How many people live in your household?	dropdown	Please select...
What is your current housing status?	dropdown	Please select...
What type of loan do you have?	dropdown	Please select...
Yes	option	Do you have a second mortgage?
No	option	Yes
N/A	option	No
Yes	option	Are your property taxes included in your mortgage payment?
No	option	Yes
N/A	option	No
Yes	option	Is your homeowners insurance included in your mortgage payment?
No	option	Yes
N/A	option	No
Yes	option	Do you have homeowners association (HOA) dues?
No	option	Yes
Yes	option	Do you bundle your cable, phone and internet services?
No	option	Yes
I do not have these services	option	No
How many vehicles do you own?	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
Yes	option	Medical and Insurances Is your medical insurance deducted from your paycheck?
No	option	Yes
I do not have medical insurance	option	No
Yes	option	Do you have a life insurance policy?
No	option	Yes
What type of life insurance policy is it?	dropdown	Please select...
Yes	option	Do you have any outstanding medical or dental bills?
No	option	Yes
Yes	option	Do you pay child support or alimony?
No	option	Yes
Yes	option	Did you receive a tax refund last year?
No	option	Yes
Reduced Income	checklist	Reason you are seeking assistance Please choose one or more events below which may have caused you to fall behind:
Unemployment	checklist	Reduced Income
Family Member Death	checklist	Unemployment
Attorney Fees	checklist	Family Member Death
Divorce or Separation	checklist	Attorney Fees
Medical Expenses	checklist	Divorce or Separation
Car Repairs	checklist	Medical Expenses
Home Repairs	checklist	Car Repairs
Pregnancy/Maternity Leave	checklist	Home Repairs
Military Service	checklist	Pregnancy/Maternity Leave
Confidential Matter	checklist	Military Service
Employment Transfer	checklist	Confidential Matter
Incarceration	checklist	Employment Transfer
Yes	option	Are you behind with your mortgage payments?
No	option	Yes
N/A	option	No
How far behind are these payments?	dropdown	Please select...
Yes	option	Please select... 1-2 Months 2-3 Months 3-4 Months 4-5 Months 5-6 Months Over 6 Months Were you previously enrolled in a Debt Management Program with Navicore Solutions?
No	option	Yes
Not Sure	option	No