ONAC Credit Counseling, Homebuyer Education, and/or Money Management Coaching Registration Form

ONAC is providing three types of free financial coaching to American Indians and Alaska Natives in the United States: 1) credit builder/credit counseling sessions, 2) homebuyer education, and 3) money management coaching (i.e. help with budgeting).

Confidential sessions are offered one-on-one, by teleconference (Zoom) or phone call, with a certified credit counselor, homebuyer education provider, and financial educator, Felecia Freeman (Citizen Potawatomi). Typically, these sessions will last for an hour and are available on weekday evenings and Saturday mornings.

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* 1. To begin registration for financial coaching, please let us know your financial goals below (you may check more than one):

Money management/budgeting

Buying a home

Setting a goal to raise your credit score

Being debt-free in 24 months

Starting a business

Purchasing a car

Planning to start, or finish, post-secondary education

Please share any other financial goals you have here:

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* 2. To register for coaching sessions, please provide your contact information below:

Name (First, Middle, and Last)

Street/Mailing Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. What is your age?

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* 4. What is your gender?

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* 5. What is your tribal affiliation?

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* 6. Are you a farmer, rancher, or fisher? (Your answer will not impact your ability to receive financial coaching services).

Farmer

Rancher

Fisher

None of the above

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* 7. Do you currently have a checking or savings account in your name?

Yes, I currently have a checking and/or savings account in my name.

No, I do not currently have a checking or savings account in my name and do not wish to open one.

No, I do not currently have a checking or savings account in my name, but I am interested in receiving information about safe and affordable bank accounts.

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* 8. If you are eligible, and are not receiving the Child Tax Credit, are you interested in receiving information on how to claim it?

Yes

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* 9. Which financial coaching services would you like to request from ONAC at this time? All services are one-on-one, free, and confidential. (You may select more than one.)

Financial education (such as one-on-one help with budgeting) available via phone and teleconference

One-on-one credit counseling available via phone and teleconference (and, as needed, possible access to a credit builder loan, through the Citizen Potawatomi Community Development Corporation)

Homebuyer education available via phone and teleconference (if you are hoping to buy a home later)