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Registration Form: Personal Finance Workshop - Building a Strong Financial Future
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1.
Full Name:
(Required.)
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2.
Email Address:
(Required.)
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3.
Phone Number:
(Required.)
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4.
Age:
(Required.)
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5.
Employment Status:
(Required.)
Employed
Unemployed
Self-employed
Student
Retired
Other:
6.
Occupation (if applicable):
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7.
What is your race or ethnicity?
(Required.)
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Multiracial or Multiethnic
Native American or Alaska Native
Native Hawaiian or other Pacific Islander
White
Another race or ethnicity, please describe below
Self-describe below:
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8.
Gender:
(Required.)
Male
Female
Non-binary
Transgender Man
Transgender Female
Prefer not to say
Other
Other (please specify)
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9.
Education Level:
(Required.)
High School Diploma
Associate Degree
Bachelor’s Degree
Master’s Degree
Doctorate
Other
Other (please specify)
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10.
Select Income Range:
(Required.)
Under $25,000
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 and above
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11.
Zip Code
(Required.)
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12.
Select which date you would like to attend the workshop:
(Required.)
Monday, October 20th 9:30 am - 12:30 pm
Monday, October 27th 5:30 pm - 8:30 pm
November – TBA
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13.
Family Size:
(Required.)
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14.
Do you have children?
(Required.)
Yes
No
