Name *

First Name

Last Name

Phone

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My goals include:

Select all that apply!

new or better job for me and/or my partner

more income, financial stability

H.S. or college diploma

own my own home

support for my kids in school

improved relationships (with kid, partner, extended family)

widening my perspective and expanding my relationships

improving health - physical, mental, emotional, or spiritual

finding peace, balance, and/or meaning

making new friends that support my goals

other

Ways I can contribute:

Select all that apply!

teach a skill

organize a MeetUp

tutor kids

lead a book study

offer a listening ear

help people with technology

lead a workshop (fun or educational)

babysit or childcare

provide transportation

teach a language or provide translation

cook (or contribute) a dish

financial support

other