Money Management Plus   AARP Foundation Money Management Plus Qualification Form   How are you affiliated with AARP?   As a member Through a 3rd party agency      Name of agency I am not affiliated with AARP How many adults live in your household?   1 2+ How many children under the age of 18 live in your household?   0 1 2+ What is your annual household income?   $9,000-$12,999 $13,000-$22,999 $13,000-$22,999 $50,000 + Have you, or any of the adults in your household, experienced any of the following events in the past six months?   Natural disaster resulting in the loss of property or bodily injury Lost a job Been diagnosed with, or treated for, a serious illness Incurred significant debt Are you considering, or recovering from, bankruptcy?   Yes No Are you a current or former member of the United States military?   Yes No In the space provided below, please describe any specific financial issues for which you are seeking pro bono help from a professional financial advisor.     Please provide us with your contact information so that a volunteer financial advisor in your area may reach you. Name City, State Email address Phone number   Clicking the 'Send' button will email the completed form to Paul Golden at the National Endowment for Financial Education