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All Things Financial
Adult Service Form
Name
First Name
Last Name
E-mail Adress
*
example@example.com
Are you bringing more guest with you?
Please Select
Yes
No
Maybe
If answered “YES” Please give a count of how many people you’re bringing with you to the Event.
List Extra guests by Name, Age, Gender, and any “special needs”they may require below.
Zip Code
*
City
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Current Status : Check all that apply
*
Single Parent Household
Receiving / Need Government Assistance
Criminal Background
Parent or Household Family member incarcerated
Household earns under $40K a Year
Household earns over $40K a year
Seeking Housing
Need Rental Assistance
Need Utility Assistance
Child needs Computer Tablets ( With WI-FI connection)
Business Owner
I don’t have a business
I am a Homeowner
I rent
I’m a Real Estate Agent
Other
What I want to Learn From this Class: Select All that apply
*
Business Startup Information
Financial Literacy for Personal
Financial Literacy for Business
Education for Funding
Business Loans
I want to buy a home
I want a new home
Financial Investment Opportunities
How to Pitch my Business
Business Marketing and Branding Tips
Resources for Business Assistance
Other
Do you commit to taking this course, and using the information to help start or further your business?
*
Please Select
Yes
No
This must be answered prior to consideration
To help our instructors get a better understanding on how to assist you, please give a brief description of what it is you truly want to get out of this course, and some of the challenges that keep you from reaching that goal?
The classes will be held in Addison Texas. Will You Need Transportation Support for this Purpose?
Please Select
Yes
No
Sometimes
Pickup and Drop-off spot will held at the Singing Hills Recreation Center 6805 Patrol Way, Dallas TX, 75241 right behind the DART UNT Dallas Train Station.
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