2026 Smart Money Moves 

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Email *
Case Manager Name *
Case Manager Email *
Participant Full Name/  Nombre Completo del Participante   *
Participant Email/  Correo Electrónico del Participante   *
Participant Address/Direcion del Participante *
Participant Phone Number/ Numero de Telephone del Participante *
Is this participant active on RI Works? YES Please Provide PID Number
If "NO" What is the source of Income
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Preferred Language/  Idioma preferido   *
Referred By
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Preferred Class Location *
IF VIRTUAL REFERRAL PLEASE GIVE AN EXPLANATION *
Will the participant bring a child to the in person session (only available at 222 Manton Ave) *
Is this a New Participant or Returning Participant *
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