Initial Survey
This survey will help us better understand your needs and how we can work together.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Google ID
If your main email is not a gmail account please provide or create a gmail account for this class
Your answer
Year of Birth *
Please provide your year of birth so we can better design lesson plans for you.
Your answer
Phone
Your answer
Income *
Do you currently receive any form of income from work, welfare, social security, or other sources?
Expenes *
Are you currently responsible for paying some or all of your own or other people's (spouse, partner, children, parents, siblings, or others) expenses?
Valid ID *
Do you currently have a valid state issued ID ( a drives license or ID)?
SS Card *
Do you have your Social Security Card?
EBT Card *
Do you have an active EBT Card?
Checking Account *
Do you have an active checking account at a bank or credit union?
Credit Montitoring *
Have you set up a CreditKarma account?
Learning
Is there anything specific you'd like to learn from this course?
Your answer
Submit
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