Organization/Group:

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* 1. Organization/Group:

Name of Contact [full name]

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* 2. Name of Contact [full name]

Address

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* 3. Address

Phone Number

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* 4. Phone Number

Email Address

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* 5. Email Address

Why are you interested in having financial education workshops? /What goals do you hope to accomplish after the completion of the workshop? / Are there any particular issues you are trying to address in your community with the workshop?

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* 6. Why are you interested in having financial education workshops? /What goals do you hope to accomplish after the completion of the workshop? / Are there any particular issues you are trying to address in your community with the workshop?

Are you making the workshop(s) mandatory for participants to come or is it voluntary?

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* 7. Are you making the workshop(s) mandatory for participants to come or is it voluntary?

Do you have a laptop and projector available to use?

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* 8. Do you have a laptop and projector available to use?

Are you interested in just one workshop or a series?

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* 9. Are you interested in just one workshop or a series?

Which workshops are you interested in having?

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* 10. Which workshops are you interested in having?

How many community members are you expecting to attend the workshop? We ask that there are at least 10-15 participants.

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* 11. How many community members are you expecting to attend the workshop? We ask that there are at least 10-15 participants.

How did you hear about CASH Campaign of Maryland and our financial education workshops?

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* 12. How did you hear about CASH Campaign of Maryland and our financial education workshops?

When would you like to have the workshop(s)? Please give me 3 available dates and times [workshops usually take 1-2 hrs]

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* 13. When would you like to have the workshop(s)? Please give me 3 available dates and times [workshops usually take 1-2 hrs]

Do you have any additional questions or preferences before we find a volunteer educator for the workshop(s)?

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* 14. Do you have any additional questions or preferences before we find a volunteer educator for the workshop(s)?

Do you have a budget to cover the cost of the workshop?

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* 15. Do you have a budget to cover the cost of the workshop?

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