The Valley of Change Step Up To Build Up Financial Literacy Workshop Application 2024
Thank you for your interest in participating in The Valley of Change's Financial Literacy Workshop.

Please read the following below

The Valley of Change will host four workshops centered around building financial literacy. The curriculum will be accessible to, inclusive of and designed for underserved communities, vulnerable populations and those that are system-impacted.

Workshops will be held in group settings, one-on-ones and/or via zoom. Workshops will be conducted in the evenings.  Address to be given if accepted and approved.

This objective is accomplished by providing opportunities for enriched student/participant development, leadership growth, experience-based learning, values education, and civic engagement.

We are asking for full participation and ask that participants and parents and/or guardians give 100% effort and are committed to the workshop.

Target Areas:

Banking, Budgeting, Setting Financial Goals, Financing Basics (Borrowing), Credit, Financial Aid for College and Pathways to Higher Education and Training.

Age Requirement:

10 years old - 21 years old

Instructions: 

Please enter the requested information below to complete your application. 

Important Information: Completing and submitting this application does not guarantee enrollment for the Step Up To Build Up Financial Literacy Workshop. Please check your email for updates.

Complete and submit separate applications for each applicant/participant.

All are welcome to apply. Priority will be given to residents of Encino, Hollywood, Lake Balboa, North Hills, North Hollywood, Pacoima, Panorama City, Reseda, Sherman Oaks, Tarzana and Van Nuys.

Participants that are accepted into the program will receive a scholarship to participate in the Step Up To Build Up Financial Literacy program.  

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Email *
Participant First Name *
Participant Last Name *
Participant Date of Birth  *
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Participant Age *
What School Does Participant Currently Attend? *
Gender *
Race *
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Ethnicity *
Street Address *
City *
State *
Zip Code *
Phone Number *
Emergency Contact (Name, Relationship, Phone Number) *
Household Size *
Household Income (Annual) *
Have You Experienced the Following? 
Select All That Apply 
*
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What is Participant's Primary Transportation Method? *
Participants Main Language Spoken? *
Does Participant Have Food Allergies? *
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If the Answer to the Above Question is YES, Please List All of Participant's Food Allergies in the Space Below.
How Did You Hear About the Program? *
Required
First and Last Name of Legal Guardian(s) 
(If 18 Years of Age and Older Mark N/A)
*
Release Agreement
Release Agreement
In consideration of my participation or my child's participation in The Valley of Change's Financial Literacy program, I hereby grant The Valley of Change or any person authorized by The Valley of Change the absolute and irrevocable right and permission, in perpetuity and free of loyalties, for The Valley of Change related purposes, to photograph or film myself or my participating child to use, publish, copyright and distribute mine or my child's image and likeness. I release and discharge The Valley of Change and its employees, independent contractors and volunteers, assigns and designees from any and all claims and demands arising out of or in connection with the acquisition or use of the above images. I have read the foregoing and fully understand the contents thereof.

I hereby certify that I am the parent or legal guardian of the minor listed above, or an adult over 18 years of age, and have the legal authority to execute the above release. I approve and authorize the foregoing.

By signing this agreement, I understand that I or my child must attend every class and is expected to treat the instructors and materials with respect. The Valley of Change may be in contact with me to share important information or updates about current and future programming. I understand the donation for classes is non-refundable and will help The Valley of Change's continue to thrive and build up community.
Participant or Parent/Legal Guardian Release Form Agreement Signature *
A copy of your responses will be emailed to the address you provided.
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