FAN REQUEST FORM

FAN REQUEST FORM

Financial Advancement Network (FAN) clubs and workshops connect low and moderate-income areas with mainstream financial institutions. Please fill out this form with your request for FAN programming.
ORGANIZATION NAME*
ORGANIZATION ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
REQUESTER NAME*
REQUESTER TITLE*
EMAIL*
PHONE*
TYPE OF SESSION PREFERRED? CHECK ALL THAT APPLY.*

Workshops: single sessions on a specific topic of interestClubs: 5-20 participants meeting regularly to improve money management habits, rectify troubling financial situations, or achieve financial goals.
HOW WOULD YOU LIKE PARTICIPANTS TO ATTEND?*

In personVirtualBoth
IDEAL START DATE?*

MonthDayYear
Date
PREFERRED TIME?*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
PREFERRED WEEKDAY? CHOOSE ALL THAT APPLY?*

MondayTuesdayWednesdayThursdayFriday
SESSION PER WEEK*
WHO IS THIS PROGRAMMING FOR?*

0/50
AGE RANGE? CHECK ALL THAT APPLY.*

13-1718-2425-3940-6465+Vary
SESSON TOPICS? CHOOSE UP TO SIX.*

Financial PlanningSaving/BudgetingUnderstanding Credit/Loan/DebtCredit BuildingInvestment/Retirement StrategyUnderstanding Student LoansIncome & Asset ProtectionUsing Banking ProductsAvoiding Predatory PracticesHomebuying 101Navigating RentingNavigating Home OwnershipBusiness 101
WERE YOU AWARE CED OFFERED THIS PROGRAMMING?*

YesNo
I WANT TO SUBCRIBE TO CED NEWS/FREE RESORUCES AND EVENTS.
example@example.com
ADDITIONAL COMMENTS?

0/100
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