Application - Financial Literacy Education Program - Sisters In Spirit, Inc.

Applicant Profile

All applications will be handled in the strictest confidence. Any questions which you feel do not significantly add to the Selection Committee’s knowledge of your background and qualifications should be considered optional. You should note, however, that because the Selection Committee will endeavor to ensure that those selected reflect the diversity of the community, you are being asked to specify your gender, race and/or ethnicity.

Question Title

* 1. Please tell us about you.

Name:(last, first, middle) *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Which race/ethnicity best describes you? (Please choose only one.)

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic American

White / Caucasian

Other (please specify)

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* 3. What is your date of birth?

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* 4. Please provide the name and address of your high school, college, or employer.

Name(high school/college/employer):

Address:

City/State:

Zipcode: