Level Up Workshop Application
Level Up helps individuals in poverty build their financial resources for a more prosperous life for themselves, their families, and their communities. The sessions will take place in a safe online learning environment with facilitators who are not only experienced in asset building, but are also eager to learn from you as well. You will learn how to prepare for a better financial future ahead!
Please fill out the information below to register for the upcoming class.
Class Dates: September 28th - October 19th


Date *
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YYYY
First Name *
Last Name *
Email *
Address *
Apartment/Unit # *
County? *
City *
State *
Zip Code *
What is your availability? (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9am-11am
11am-1pm
1pm-3pm
3:30pm-5:30pm
5:30pm-7:30pm
6pm-8pm
Other
If "Other" was selected, What is your availability ?
Cell Phone *
Home Phone *
What is your current gender identity? *
Are you a citizen of the United States?
Clear selection
Are you a veteran?
Clear selection
Applicant's marital status:
Clear selection
What's your highest degree or level of highest degree received?
Clear selection
What is your yearly income?
Do you currently receive any benefits? *
Required
Do you currently have a banking relationship? Checking or Savings *
Do you have access to WiFi/internet? *
How do you access the internet? *
How did you hear about the Level Up workshop? *
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