xxxx DE Application Appendix C

Appendix C: Teaching Methods and Business Locations
(Application for Approval as a Provider of a Personal Financial Management Instructional Course)

Name of Provider:_________________________________________________________________
Teaching Methods:
In-Person:

Telephone:

Internet:

_____ Yes _____ No

_____ Yes _____ No

_____ Yes _____ No

Languages Offered:

Languages Offered:

Languages Offered:

Contact Information: (To be posted on the United States Trustee approved list)
Address:

Telephone number:

Web address:

Business Locations:
List all business locations and include telephone number and business hours. In last box,
check if In-Person counseling is available at the location.
ADDRESS
(include street, city, county and state)

TELEPHONE
NUMBER

BUSINESS
HOURS

IN PERSON
CLASS
AVAILABLE