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 Wealth Equity Fellowship Application
This form is to determine your eligibility for the program. All answers will be kept confidential. 
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What is your first and last name? *
What is your phone number? *
What is your email address? *
What is your full address?  *
What is your date of birth?
What is your household make up? *
How many people are in your household? *
What is your current hourly wage? *
What is your monthly housing expense (rent/mortgage, electric, gas, water, food, landscaping, etc.)? *
Do you have transportation? *
Do you have a car note? *
Are you a... *
Required
Can you commit to attending a 20 week fellowship on Wednesday nights? *
Educational background *
Do you live ...? *
Would you be interested in financial fitness/credit repair? *
Do you have access to a computer? *
Do you have access to Wifi? *
Would you be available to start the program in January 2024? *
What occupation(s) are you interested in? *
Required
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