Hope Community Church :: Personal Budget Counseling Form

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Personal Budget Counseling Form

Submitted by gethopeadmin on Fri, 2010-05-14 09:38

Please enter your information, along with some financial details below. This information is confidential and will be used only by our financial counselor to make some informed decisions on how to best help you.

Once you submit this form, a member of our financial counseling team will contact you to set up a meeting time. Thank you!

Your Information

Your Name*:
Spouse's Name:
Preferred Email*:
Preferred Phone*: - -

Financial Information

Employer(s):
Household Income:
$
Rent/Mortgage Payment:
$
Total amount of unsecured debt (credit cards, student loans, medical):
$
Amount of car loans/payments:
$
Amount you have in emergency savings:
$
List your top 3 priorities/goals to discuss with the counselor:

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