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Pave Your Financial Path
Program Interest Form
Ready to take a step on your financial journey? You don’t have to take it alone. Fill out the survey below and a member of our team will contact you with more information.
Program Interest Form / Intéres del Programa
Thank you for your interest in Women's Money Matters Collective Programs. Our program combines financial empowerment workshops with one-to-one coaching with the goal of improving financial health and creating more secure futures for women living on low incomes, their families, and communities. Learn about banking, budgeting, credit, and other topics that will help you understand and improve your relationship with money. Programs are approx. 3-4 months long and are available in both English and Spanish.
Gracias por su interés en los Programas de Women's Money Matters. Nuestro programa combina talleres de empoderamiento financiero con entrenamiento uno a uno con el objetivo de mejorar la salud financiera y crear futuros más seguros para las mujeres de bajos ingresos, sus familias y comunidades. Aprenda sobre la banca, el presupuesto, el crédito y otros temas que le ayudarán a entender y mejorar su relación con el dinero. Los programas tienen una duración aproximada de 3-4 meses y están disponibles tanto en inglés como en español.
Does your household income fall within or below the guidelines above showing 300% of the Fedeal Poverty Level?
Our program is for women with an income below guidelines of 300% of poverty or less. Please take in account the household size when determining eligibility. Thank you.
¿Los ingresos de su hogar se encuentran dentro o por debajo de las pautas anteriores que muestran el 300% del Nivel de Pobreza de Fedeal? Nuestro programa es para mujeres con un ingreso por debajo de las pautas del 300% de pobreza o menos. Tenga en cuenta el tamaño del hogar al determinar la elegibilidad. Gracias.
Your Information/Su Informacion
First Name / Primer Nombre
Last Name / Apellido
Mailing City/ Ciudad de correo
Mailing State/ Estado de envío
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
GU
MH
MP
PR
VI
Contact Preference / Preferencia de Contacto
Email / Correo electrónico
Text / Texto
Phone Call / Teléfono
Email/ Correo Electronico
Mobile Phone Number / Telefono Cellular
How did you hear about us? / ¿Cómo te enteraste de nosotros?
Please select how you heard about us. / Por favor, seleccione cómo se enteró de nosotros.
Email/ Correo electrónico
Employer/ Empleador
Flyer/ Aviador
In-Person Event/ Evento presencial
Newspaper/ Periódico
Online Search/ Búsqueda en línea
Organization/ Organización
Personal Connection/ Conexión personal
Social Media/ Redes Sociales
Volunteer Site/ Sitio de Voluntariado
Please share the name of the organization, flyer, website, email, etc. in which you were informed about Women's Money Matters. Por favor, comparta el nombre de la organización, el folleto, el sitio web, el correo electrónico, etc. en el que se le informó sobre Women's Money Matters.
Social Media Sites/ Redes Sociales
Instagram
LinkedIn
TikTok
Twitter/ X
Which program are you interested in? /
¿
En
qué programa está interesado?
Please select...
Financial Futures Collective (suggested for ages 20+ / sugerido para las edades de 20+)
Life Launch Collective (suggested for ages 14-22 / sugerido para edades de 14 a 22 años)
Do you currently receive any form of public assistance? /
¿Recibe actualmente algún tipo de asistencia pública?
Yes
No
Are you receiving services from a community action agency? /
¿Está recibiendo servicios de una agencia de acción comunitaria?
Yes
No
What is your program preference? /
¿Cuál es su preferencia de programa?
English / Inglés
Spanish / Español
Considering your schedule over the next few months, which day and time would work best for you for a 14 week online program? Choose as many as applicable:
Mondays/ lunes: 6:30pm-8pm ET
Mondays/ lunes: 12:00pm-1:30pm ET
Tuesdays/ martes: 6:30pm-8pm ET
Tuesdays/ martes: 12:00pm-1:30pm ET
Wednesdays/ miércoles: 6:30pm-8pm ET
Wednesdays / miércoles: 12:00pm-1:30pm ET
Thursdays/ jueves: 6:30pm-8:00pm ET
Thursdays/ jueves: 12:00pm-1:30pm ET
Fridays/ viernes: 12:00pm-1:30pm ET
Saturdays/ sábado: 9:00am-10:30am ET
Other Day/Time
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Creating A World Where All Women Are Financially Empowered
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About Us
Team
Governance
Supporters
In The News
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About Programs
Programas en Español
Join a Program
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The Need
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Partner With Us
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