JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Fall Workshop Registration
Please fill out the form below to register for one of our fall workshops. You can register to as many as you would like to. We will send you a Zoom link after your registration.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What Financial Literacy Workshops would you like to register to?
*
Dec 7: Using Credit Wisely
None
What Job Readiness Workshops would you like to register to?
*
Dec 8: Time Management & Organizational Skills
None
Required
Full Name
*
Your answer
Age
*
Your answer
What is your annual household income?
*
Your answer
Race/ Ethnicity
*
Black/African
Caucasian
Native American
Asian
Hispanic/Latinx
Pacific Islander
Prefer not to anser
Other:
Required
Street Address
Your answer
City
*
Your answer
State
Your answer
High School Name
*
Your answer
Grade
*
Your answer
Gender
*
Male
Female
Prefer not to answer
Average GPA
*
Your answer
Email
*
Your answer
Parent/ Guardian Full name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Contact #
*
Your answer
How did you hear about the workshops?
*
Your answer
What do you hope to achieve in taking this workshop(s)?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of BelieveandInspire.
Report Abuse
Forms
