Plank Road Community Development Initiative
Workshop Registration Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
City
Age Group
Under 18
18–24
25–40
41–60
60+
Workshop Interests
Financial Literacy
Entrepreneurship
Business Start-Up Basics
Credit Education
Budgeting & Money Management
Homeownership Readiness
Youth Empowerment
Women's Empowerment
Workforce Development
Community Revitalization
Are you currently:
Employed
Self-Employed
Unemployed
Student
Retired
What would you like to learn from this workshop?
Have you attended one of our workshops before?
Yes
No
Would you like information about future programs and community events?
Yes
No
Consent
*
I understand this registration is for educational and community development purposes and does not guarantee funding, employment, or financial services.
Signature
*
Submit
Submit
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