Four Week Youth Financial Empowerment Program Application

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* 1. Full name

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* 2. Gender

Male

Female

Non-binary

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* 3. Age

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* 4. Race/Ethnicity

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Mixed Race

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* 5. Email

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* 6. Phone number

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* 7. Full address (Please include street, city, state, and zip code)

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* 8. School

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* 9. In 100 words or less, why are you interested in being a part of this program?

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* 10. Are you committed to creating an abundant lifestyle?

Yes

No