Sign up for My Money Works - Tuesdays, June 3 - July 1, 2025 10:00

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you require accommodations to participate in this class, please contact Kelley Glidden at 207-621-3436 or kelley.glidden@maine.edu

Thank you for providing the following information. Your name and contact information will not be shared. Aggregate data is used for the purposes of reporting to our funders and measuring the success of our programs.

All fields are required on the registration form. Please contact Kelley Glidden at 207-621-3436 or kelley.glidden@maine.edu if you prefer a paper copy or have any questions. If you have taken a class with NVME recently, contact the trainer. Your registration information may already be on file.

You may be contacted in the future to provide feedback on your experience with NVME.

Name - First *

Name - Middle

Name - Last *

Date of Birth *

YYYY

Address *

City *

State *

Zip *

In what county in Maine do you reside? *

Email *

Phone number *

Sign me up for the enews about NVME programs *

Gender

If you would like the opportunity, we invite you to say more about your gender identity here:

I am Hispanic or Latinx *

In addition, check one or more of the following racial categories to describe yourself. *

If you chose other above, please list here.

Work Status *

I have a disability that limits my work *

I receive SSI, SSDI, or veterans disability *

I am a veteran, active duty military or reservist *

I receive unemployment insurance (UI) *

I am looking for work *

Education Information *

Are you interested in learning more about saving for education for yourself or for your children?

Number of people in your household including you *

Total monthly Income for your household (from all sources) *

Are you the Head of Household? *

Are you a single parent? *

Do you have student loans?

Would you like to learn more about student loan repayment options?

How did you hear about New Ventures Maine? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Maine System.

Does this form look suspicious? Report

Forms