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Workshop Request
Name
*
Email
*
Phone Number
*
School or Organization Name
*
Address
*
Mode of Instruction
*
- Select -
In-Person
Zoom
Instruction Level
*
- Select -
Middle School
High School or College
High School/ College Level Workshop Topics
*
Entire Series -- all 7 topics
Spending Plans
Savings
Credit Basics
Credit Reports
Invest in Yourself
Jobs and Paychecks
Fraud and Identity Theft
Middle School Workshop Topics
*
Entire Series (5)
Spending Plans
Savings
Credit Basics
Invest in Yourself
Fraud and Identity Theft
Number of Workshops Selected
*
Please select the number of workshops you have chosen above.
- Select -
1
2
3
4
5
6
7
Presentation Date (1st workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
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Dec
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Day
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2022
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2024
Year
Presentation Date (2nd workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
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Sep
Oct
Nov
Dec
Month
Day
1
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Day
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2022
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2024
Year
Presentation Date (3rd workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
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31
Day
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2022
2023
2024
Year
Presentation Date (4th workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
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4
5
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20
21
22
23
24
25
26
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29
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31
Day
Year
2022
2023
2024
Year
Presentation Date (5th workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
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18
19
20
21
22
23
24
25
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27
28
29
30
31
Day
Year
2022
2023
2024
Year
Presentation Date (6th workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
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21
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31
Day
Year
2022
2023
2024
Year
Presentation Date (7th workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
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3
4
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21
22
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24
25
26
27
28
29
30
31
Day
Year
2022
2023
2024
Year
Start and End Times of workshops (please specify for each period)
*
Equipment Selection
*
- Select -
Teacher cannot supply a laptop & projector
Teacher can supply a laptop & projector
How many participants at each workshop?
*
What grade are your students in?
*
How many students are male?
*
How many students are female?
*
How many students do not identify with male or female?
*
What do you hope to gain from these workshops? (ie financial knowledge, information about budgeting, etc)
*
Any other special instructions/notes?
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