Financial Empowerment Series Registration

Virtual Financial Empowerment Series Registration

Please complete the following form.
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a participant in any OCWB programs?
What are you looking to gain from the Financial Empowerment Series?
This series will end with a graduation ceremony. What time of day do you prefer the ceremony to take place?
If you have any questions, contact

Sherrilyn Hicks

Program Coordinator, Wealth Building

804.646.6360

sherrilyn.hicks@rva.gov
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Virtual Financial Empowerment Series Registration