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FLIP Cohort 1 Program Application
Event Timing: June 6th, 13th, 20th and 27th 6:00 pm- 7:30 pm
Event location: Virtual
Contact us at
info@thinkbigfoundation.org
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* Indicates required question
Parent or Guardian First Name
*
Your answer
Parent or Guardian Last Name
*
Your answer
Parent or Guardian Email
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
*
White/Caucasian
Black/ African American
Hispanic
Asian/ Asian American
Multi Racial
Other:
How much do you make annually? (Yearly)
*
$0 - $9,999
$10,000 - $24,999
$25,000 - $49,999
$ 50,000- $74,999
What are your main goals or objectives in participating in this program?
*
Your answer
Do you have any specific financial concerns or challenges that you would like to address during the program?
*
Your answer
Are you in need of credit repair or need help rebuilding your personal credit?
*
Yes
No
Have you ever been denied opening a bank account or are currently in Early Warnings or CheckSystems?
*
Yes
No
How did you hear about the Flip program?
*
Friend or Family
Facebook
Flyer
Church or other organization
Other:
Are you willing to commit 1 hours and 30 minutes per week for 4 weeks to attend sessions dedicated to understanding finances, budgeting, credit, and more?
*
Yes
How many children will you be receiving stipends for?
*
1
2
3 (max 3 children per household)
Child 1 Full Name
*
Your answer
Child 1 Age group?
*
6 months- 5 years
6 years- 12 years
13 years- 19 years
Child 2 Full Name (put N/A if only child)
*
Your answer
Child 2 Age group?
*
6 months- 5 years
6 years- 12 years
13 years- 19 years
Not Applicable (N/A)
Child 3 Full Name (put N/A if no other children)
*
Your answer
Child 3 Age group?
*
6 months- 5 years
6 years- 12 years
13 years- 19 years
Not Applicable (N/A)
Are you willing to participate in the mandatory in-person event at the end of the 4-week program on
June 29th?
*
Yes
No
Dietary restrictions
*
None
Vegetarian
Vegan
Nut Allergy
Gluten-free
Other:
What is your T-Shirt Size?
*
S
M
L
XL
XXL
Other:
Required
Are you interested in learning more about or starting your own business?
*
Yes
No
If you are not selected for the current cohort, would you like to be considered for the next cohort and placed on our emailing list for updates?
*
Yes
No
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