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* 1. Please enter your contact information

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* 2. Which session are you interested in attending?

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* 3. Gender

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* 4. Race

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* 5. Do you have a disability?

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* 6. In the past 2 years have you utilized any predatory lending products? (payday loans, rent-to-own furniture stores, title loans, etc)

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* 7. What is your current living situation?

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* 8. How many people live in your home? (including you)

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* 9. Do you speak a language other than English as your first language?

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* 10. What is your annual income?

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