Cricket Fixes Financial Aid Application
Cricket Fixes believes in access for all and is committed to providing discounts or grants to those in financial need. 

Your application will be reviewed, and should you be approved, a member of our team will provide you with discount codes to be used exclusively for the applicant listed here, which shall not be shared.

You agree to be added to our newsletter and marketing campaigns by submitting your application. You will receive updates, promotional offers, and other communications from us. Your information will never be shared nor sold to third parties. You can unsubscribe at any time by following the unsubscribe link in any of our emails.
Email *
First Name *
Last Name *
Email Address *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Which Race or Ethnicity Best Describes You? *
Required
What's Your Occupation? *
What is Your Gross Monthly Income? (please list the total for your household if you live with others and include additional income sources such as alimony, rental income, self-employment/gig, etc) *
What Are Your Total Monthly Expenses? *
Number of Dependents Including Yourself? *
What is Your Current Credit Card Debt? *

Please provide any additional information you’d like us to consider. Additionally, share a brief note on the benefits you expect to gain, how these will help you progress in life, and how you may share these gifts with others.

 *

What amount do you feel you could afford for an annual membership and/or mastermind?

 *

Do you commit to being an active member of the Cricket Fixes community, attending the live sessions as often as possible, and engaging with the community in the private group forum?

 *

Would you be open to helping grow our community by promoting Cricket Fixes to at least three friends?

 *

Would you be open to providing a video testimonial about your experience with Cricket Fixes for us to share on our website and social media platforms?

 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christa King Enterprises.

Does this form look suspicious? Report

Google Forms