Teen Financial Empowerment Program Money Smart Teens Flyer Teen Financial Empowerment Program Online Interest Form Name * Name First First Last Last Date of Birth * Age * Street Address * City, State, Zip * Mailing Address * City, State, Zip * Phone * Email Address * High School Name * Parent or Guardian Phone Number Current Grade (2022-2023) * How did you hear about us? * Radio Social Media Search Engine Other Signature Date * If you are human, leave this field blank. Submit