Zoom Financial Education Class August 4th and 6th @10AM :

  • Please fill this form out completely to the best of your ability. If the registration seems longer than usual, it is because this form will be used instead of having you fill out an Intake form. Zoom link will be e-mailed a few days before the class. If you have any questions or require assistance, please call Rosa Fernandez at 716-884-7791 Ext. 160

  • Household Member (Name)Type of Income (Job, Food Stamps, SSI, Etc.)Gross Monthly Income (Before Taxes) 
  • DEMOGRAPHIC INFORMATION: Demographic information is used solely for statistical reporting requirements

  • This field is for validation purposes and should be left unchanged.