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First Name *
Last Name *
Organization Type *
Financial Institution (Bank, CU, CDFI)
For Profit Corporation (non-financial institution)
Check all direct services & supports you offer to customers: *
Veterans / Military
Financial Coaching / Counseling
Free Tax Preparation
We do not provide direct services
Do you participate in any of the following activities? (If funder, do you support organizations to implement any of the following activities?) *
Research and Evaluation
Public Policy Advocacy
Training, Capacity Building and/or Technical Assistance for Other Organizations
How many employees does your organization have? *
Less than 10
10 - 25
26 - 50
51 - 75
More than 75
How do you intend to use Change Machine? *
Train myself or my staff on financial security information.
Obtain tipsheets and worksheets that I can distribute.
Track the progress my clients make.
Track my organization's outcomes and goals.
Connect with others in the field.
I will not be using Change Machine. Just seeing what all the buzz is about!
How many licenses might your organization need? *