AFA Application
Name: *
Zip Code: *
Age: *
Estimated Monthly Household Income:
Are there children in your household? *
Have you been employed by or been enrolled in an education program in the last 12 months? *
How did you hear about the A.F.A. program?
Have you previously been enrolled in the A.F.A. program? *
If previously enrolled, who was your coach?
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