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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
Jobs and Paychecks
Fraud and Identity Theft
Invest in Yourself
Middle School Workshop Topics
*
Entire Series
Spending Plans
Savings
Credit and Identity Theft
Jobs and Paychecks
Number of Workshops Selected
Presentation Date (1st workshop)
*
Month
Jan
Feb
Mar
Apr
May
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Jul
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2022
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2024
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Presentation Date (2nd workshop)
*
Month
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Feb
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Apr
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Day
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Presentation Date (3rd workshop)
*
Month
Jan
Feb
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Apr
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Jul
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Sep
Oct
Nov
Dec
Month
Day
1
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2022
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2024
Year
Presentation Date (4th workshop)
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
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4
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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
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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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31
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Year
2022
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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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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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