"*" indicates required fields Program OptionsSelect a Program* Classes Credit Review Coaching (English and Español) HiddenForm Type HiddenForm Type HiddenForm Type Did you hear about Prosperity Connection from another company/organization?*Please select belowYesNoWhich company/organization?*Please select belowArchCity DefendersCarrollton BankCentral BankCommerce BankCornerstoneDeSales Community DevelopmentDutchtown South Community CorporationEmployment ConnectionFirst BankHomeScreenJustine PETERSENMechanical Contractors AssociationMission: St. LouisMoCaFiRung for WomenSociety of St. Vincent de PaulSt. Joseph Housing InitiativeSt. Louis Community Credit UnionSt. Louis Small Business Empowerment CenterThomas Dunn Learning CenterUrban League of Metropolitan St. Louis, IncUS BankOtherHow did you hear about us?*Word of Mouth (i.e. friend, family, etc.)Place of WorkFacebookEmail NewsletterOnline (i.e. Google Search, LinkedIn, YouTube, etc.)OtherReferralWhat are you looking to get out of our financial coaching services?*Choose an Online Class – Zoom link provided in email after registration*Each month, for every Zoom class that you attend, you will be entered into a raffle for one of two $100 gift cards for gas or groceries – your choice! The more classes you attend, the more chances you have to win! **ONLINE CLASS** Credit Cards: From Mystery to Mastery – Thursday, April 18th @ 6:00 PM **ONLINE CLASS** Home Buying Basics – Thursday, April 25th @ 6:00 PM **IN-PERSON** First Bank Learn and Earn Series: Wednesdays Beginning on May 1st @ 6:00 PM – The Hub – 3000 Prairie Ave. St Louis, MO 63107 Language* English Spanish Other Participant InformationLegal Name*This is necessary for your credit report. First Last Preferred Name First Last Pronounsex. she/her, he/him, they/them Email* Stay In Touch! Sign me up for emails from Prosperity Connection Phone Number*Texting Permission Send me text reminders (data and messaging rates will apply) Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Race*Select all that apply Native American or Indigenous Asian Black or African American White Native Hawaiian or Pacific Islander Other Ethnicity* Hispanic or Latino Not Hispanic or Latino Gender Identity*Select all that apply Woman Man Transgender Woman Transgender Man Non-Binary or Gender Non-Conforming Prefer Not to Say Other Number of People in Household*Please Select Below12345+Household Income Levels*Please Select BelowLess than $30,000$30,000 – $40,000$40,000 – $55,000$55,000 – $70,000$70,000 +Do you have any accessibility needs or requests?Ex. closed captioning, language translation, etc. In the past 6 months, have you created or followed a budget?* Yes No When you get paid, how do you use your money?* Debit card/checking account Cash Check cashing Alternative banking (i.e. Cash App, Chime, etc.) Prepaid card When was the last time you saw your credit report?* Within the last 6 months Within the last year Within the last 5 years Never Disclaimer*Our aim is to provide industry insights to help you make informed financial decisions. While we provide accurate and objective information, our recommendations are limited by the information you provide. We do not guarantee outcomes or performance and are not responsible for any financial losses or gains resulting from your decisions. It’s important to conduct independent research and seek additional advice before making any financial decisions. By working with us, you accept responsibility for your decisions and absolve us from any liability. I have read this disclaimer and agree EmailThis field is for validation purposes and should be left unchanged. Δ