Stability & Growth Courses

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Common Heart is conducting a series of Stability & Growth classes that will focus on increasing resources for families in our community.

Email *

Title of the course *

Escaping Relational Drama - January/February

Money & Me- March

Hidden Rule of the Workplace - April

Name (First & Last) *

Date of Birth *

YYYY

Phone Number *

Are you a Getting Ahead Graduate? *

Yes

Street Address *

City, State, Zip *

Highest Grade Level Completed *

K-5

6-8

9-12

GED

Associate's

Bachelor's

Master's

Current Income Source (Choose all that apply) *

Employment

Social Security

Disability

Social Services Benefits

Income from other member of household

No income

Other

Required

What is your monthly income amount? (Please add all income from all catagroies from everyone in your home) *

Please check the following if you agree *

I AM WILLING TO PARTICIPATE IN AN INTERVIEW WITH COMMON HEART STAFF AND/OR PROGRAM ADMISSION COMMITTEE.

BY CHECKING THIS BOX, YOU UNDERSTAND THAT YOU ARE APPLYING FOR ADMISSION INTO ONE OF COMMON HEART'S STAYING AHEAD COURSES. COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE THAT YOU WILL BE ACCEPTED INTO THE PROGRAM. EVALUATION OF APPLICATIONS WILL BE DETERMINED AFTER AN INTERVIEW HAS BEEN CONDUCTED. IF YOUR CONTACT INFORMATION CHANGES WHILE WAITING FOR ACCEPTANCE INTO THIS COURSE, PLEASE NOTIFY OUR OFFICE SO THAT WE MAY UPDATE YOUR RECORDS. UNTIL YOU HAVE OFFICIALLY RECEIVED A LETTER OF ACCEPTANCE FROM COMMON HEART, IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT YOUR CONTACT INFORMATION ON FILE REMAINS CURRENT.

Required

Thank you for your interest in this course! Someone will be in touch with you soon. If you have any questions please call 704-870-0012.

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