Pathways Enrollment Form

Thank you for your interest in the Pathways to Financial Empowerment program! Pathways supports Inclusiv member credit unions to deliver and track the impact of financial counseling in their community. By completing this form you are confirming your enrollment in the Pathways program. We will follow-up with you shortly with a Pathways contract, pricing and next steps.

Credit Union Information
Credit Union Name*
Address*
Street Address City State ZIP Code
Website
Credit Union Contact Person
Name*
First Last
Title
Phone*
Email*
Additional Information (Optional)
Is your credit union an Inclusiv member?
- Yes
- No
Is your credit union low-income designated?
- Yes
- No
Is your credit union CDFI certified?
- Yes
- No
Financial Counseling Program Overview
Please provide an overview of your credit union's in-house, one-on-one financial counseling program.
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Pathways Enrollment Form

Pathways Enrollment Form

Credit Union Information

Credit Union Contact Person

Additional Information (Optional)

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