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pdfJoin the FDIC Money Smart Alliance -Membership Information
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OMB Number: 3064-0127
Expiration Date: 06/30/2020
Thank you for your interest in joining the FDIC's Money Smart Alliance.
The FDIC welcomes these types of organizations to join the Money Smart Alliance:
• Federally insured financial institutions
• Non-profit organizations that have been recognized as tax-exempt by IRS
• Federal agencies
• K-12 schools or school districts
• Colleges or universities
• Other state or local government agencies (including governmental entities)
Alliance members agree to use or promote the Money Smart curriculum. Alliance members are encouraged to provide feedback to the FDIC that can help improve
the Money Smart program, including ways they use the program.
Individuals and other types of organizations are not eligible to join the Money Smart Alliance at this time.
Click here to learn more about the Money Smart Financial Education Program.
ESTIMATED REPORTING BURDEN
Public reporting burden for this collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding the burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to Paperwork Reduction Act, Legal Division, FDIC, Washington,
D.C. 20429; and to the Office of Management and Budget, Paperwork Reduction Act Project(3064-0127), Washington, D.C. 20503. Respondents need not
respond to this request for information unless it displays a currently valid OMB Control Number. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number.
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Join the FDIC Money Smart Alliance -Confirm Identity
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OMB Number: 3064-0127
Expiration Date: 06/30/2020
Complete this short form to express your interest in joining the Money Smart Alliance
*First Name:
*Last Name:
*Email Address:
*Re-enter Email Address:
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Join the FDIC Money Smart Alliance -Membership Information
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OMB Number: 3064-0127
Expiration Date: 06/30/2020
Fill out the information, then click Next to proceed.
Organization Information
First Name:
Nicola
Last Name:
Myers
Email Address:
abc123@aol.com
'Contact Phone:
'Organization Name:
*Organization Type:
Q Federally insured financial institution
Non-profit organization that has been recognized as tax-exempt by IRS
Q Federal Agency
Q K-12 school or school district
Q College or university
Q Other state or local government agency (including governmental entities)
Additional Contact Email:
Second Additional Contact Email:
Additional contacts) receives all communications
Work Address:
'Country:
USA
~
*Address:
'City:
State/Province:
v
"ZIPIPostal Code:
Curriculum Use (Select all that apply)
*We use these Money Smart product(s):
❑ Instructor Led -Adults
❑Instructor Led -Young Adults
❑Instructor Led -Young People
❑Instructor Led -Older Adults
❑Instructor Led -Small Business
❑ Instructor Led -Visually Impaired
Self-Paced -CBI
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Join the FDIC Money Smart Alliance -Membership Information
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❑ Self-Paced - Podcast
*We use Money Smart by:
❑ Teaching it to others
❑ Promoting it to organizations that can use it
Promoting the self-paced versions to consumers
❑ Funding or supporting organizations that use it
'We use Money Smart in these Locations:
AK
AL
AR
AS
~
v
Use Ctrl to Select & De-Select Multiple States
'We use Money Smart in these languages:
English
Braille/Large Print
~
Chinese
v
Haitian-Creole
Use Ctrl to Select & De-Select Multiple Languages
'Consumers who want training can contact us:
Q Yes Q No
'Information provided can be available on FDIC
Site:
Q Yes Q No
Application Modification
*I am Modifying a Money Smart Membership Application that was
previously submitted:
Q Yes
p No
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Join the FDIC Money Smart Alliance -Selection Page
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Nicola Myers
Membership Terms
OO
Money Smart Alliance Membership
Membership in the Money Smart Alliance does not constitute an endorsement of FDIC of any product, service, or positions of Alliance Members. Alliance Members may not
use the FDIC name or logo to imply an FDIC endorsement of its products, services, or positions. Alliance membership may be terminated by either party at any time. Alliance
memberships are for renewable three-year terms. By clicking Next below, you reflect that you agree with the above statement and you agree that the information you supplied
is accurate.
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Join the FDIC Money Smart Alliance -Membership Summary
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OMB Number: 3064-0127
Expiration Date: 06/30/2020
Membership Summary
Nicola Mvers ~>
Email Address:
abc123@aol.com
Contact Phone:
202-898-7174
Organization Name:
FDIC
Organization Type:
Federal Agency
Additional Contact Email:
Second Additional Contact Email:
We use these Money Smart product(s):
Instructor Led -Young People
We use Money Smart by:
Teaching it to others
We use Money Smart in these Locations:
DC
We use Money Smart in these languages:
English
Consumers who want training can contact us:
Yes
Information provided can be available on FDIC Site:
Yes
Work Address:
1700 G St NW
Washington, District of Columbia 20429
USA
Questions ~>
REGISTRANT INFORMATION
am Modifying a Money Smart Membership Application that was previously submitted: No
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Join the FDIC Money Smart Alliance -Complete membership sign up
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This page acts as confirmation of your Money Smart Alliance application.
Confirmation
Nicola Myers
Membership
Name
Money Smart Alliance Membership Duration: 3 years of Membership
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| File Type | application/pdf |
| File Modified | 2017-12-05 |
| File Created | 2017-12-05 |