COVID Aid for Fathers

Fathers Helping Fathers (ECONOMIC AID)

Each father fill out the intake questions to qualify for free credit help and economic aid to help their family.

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* 1. Name:

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* 2. Ethnicity

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* 3. What is your age?

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* 4. Are you a father?

Yes

No

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* 5. What is your family size or how many do you serve as a father figure?

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* 6. Do you have a valid Driver's license, ID, or Passport?

Yes

No

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* 7. Are you a registered voter?

Yes

No

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* 8. Who is your current employer (type N/A if currently searching)?

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* 9. Do you have an updated resume?

Yes

No

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* 10. Where do you currently reside?

Street

City, State

Zip Code

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* 11. What is you email?

What is the best phone number to contact you?