Faith & Finances Course Roster

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1 Faith & Finances Course Roster Full Name Phone number(s) Address Number of Kids! Mark when Paid! Allies! Participants!

2 Allies

3 MY LATEST BUYS Write down up to twelve specific purchases that you have made this week or last week from food and clothes, to entertainment and shopping. Item Purchased Cost Session 1: Money and Relationships 23

4 Item and cost 2 Want or Need Alternatives Example: New pair of shoes: $50 Want Buy polish and clean up the ones you already have. Resole used ones. Buy a cheaper brand that is still good quality. Shop around for sales.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 2!Derived!from!Nederveld!and!Chung,!Faith&&&Finances,!Session!IV,!page!6.!!! Session 3: Challenges to Financial Management 45

5 Long-term Goals 3 (1 to 5 years) Long-term Goal: I or we will Total cost Time frame (Years and Months) Monthly Cost Short-term Plan to Reach My Goal Example: We want our son who is in 8 th grade to eventually enroll in the 2-year technical college. $4,000 including tuition, books, and fees 5 years/ 60 months $65 I will talk to my wife and open a special savings account. We will completely pay off an old medical debt of $300 so we can start saving.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 3 Derived from Nederveld and Chung, Faith & Finances, Session VI, page 7. Session 4: Savings Goals 64

6 Short-term Goals 4 (within 6 months) Short-term Goal (I or we will ) Total Cost Time Frame (Months and weeks) Amount to Save Weekly Identify How: Time Needed, Cost, and Strategy Example: We need to pay off an old medical debt. $300 6 months/ 24 weeks $12.50 per week For the next six months, our family will cut back eating out to once a month. I will bring my lunch to work in a brown bag instead of eating at the cafeteria.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 4 Derived from Nederveld and Chung, Faith & Finances, Session VI, page 8. Session 4: Savings Goals 66

7 About You Please share this information with us about yourself so that we can make Faith & Finances a better program. Everything you share will be kept strictly confidential. Please fill out the front and back of this page. 1. Your Last Name: 2. What is your gender and ethnicity? (Circle one choice for each) Gender: Male Female Ethnicity: Asian American Black or African American Hispanic or Latino Multiracial Native American White or Caucasian Race/ethnicity unknown Other: 3. Circle all that apply. You are: Single Married Divorced Separated Living together Widowed 4. In what year were you born? (write a 4-digit birth year) 5. What is the highest level of education you have completed? (Circle one answer) Less than High School High School / GED Some College 2-year Degree 4-year Degree Post-Graduate 6. Are you an ally or financial mentor in Faith & Finances? Circle: Yes or No 7. Circle the primary source of income in your household in the last year: Full-time employment Part-time employment Self employment Support from Family/Spouse Social Security Disability Unemployment Other Government Assistance Other support 8. List the additional source(s) of income in your household in the last year. A. B. C.

8 9. Combining the primary and additional sources, what is your approximate yearly income? (Total up income for all members of your household.) $4,999 or less $5,000 - $9,999 $10,000 - $14,999 $15,000 - $19,999 $20,000 - $24,99 $25,000 - $29,999 $30,000 - $34,999 $35,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 - $69,999 $70,000 or above 10. Do you currently keep a monthly budget/spending plan? Circle: Yes or No 11. How much money do you have in an emergency fund? (Circle one answer) None $0 - $99 $100 - $299 $300 - $499 $500 - $999 $1,000 or above 12. Which of the following types of insurance do you currently have? (Circle all that apply) Automobile Disability Health Homeowner's/Renter's Life None 13. Besides yourself, how many people in each category live under your roof? (Write a number in every blank; if none, put 0.) Spouse Parent Other Family Boyfriend/Girlfriend Child Roommate 14. How often are you involved in church or church activities? (Circle one answer) Never Special Occasions 1-2 times per month 3+ times per month Weekly 2+ times per week 15. Name(s) of church(es) in which you are involved: Is anyone else in your household currently taking this course? Circle: Yes or No 17. If yes, what is the other household member's last name? 18. If yes, what is your relationship to the other household member? (Circle one answer) Spouse Boyfriend/girlfriend Parent Child Other family Roommate

9 My Daily Income Date Amount Source Check/Cash Total $ Session 5: Creating a Spending Plan 83

10 My Daily Expenses Date Description of Purchase Amount Spent Total $ Session 5: Creating a Spending Plan 84

11 My Monthly Spending Plan My Monthly Income Employment (Take-home pay after taxes) Government Assistance/Unemployment Pensions/Retirement Child Support/Alimony Friends/Family Investment Earnings Social Security/Disability Food Stamps Current Income Income Changes New Budget Other: Other: TOTAL INCOME My Monthly Expenses Housing (Rent/Mortgage) Electricity Gas Water Telephone (Home and Cell) Cable TV/Internet Laundry Costs Groceries Snacks/Drinks/Cigarettes Medicine/Prescriptions Household (Toiletries, Cleaning, Cooking) Pet Food and Supplies Child Care/Child Support/Alimony Meals Out/Entertainment Transportation (Car Payments, Fuel, Bus) Clothing/Shoes School Expenses/Tuition Credit Card/Debt Payment Giving (Personal and Charity) Books, DVDs, and CDs Subscriptions/Dues (Magazines, Clubs) Insurance (Health, Car, Rental) Miscellaneous Daily Expenses Other: Other: TOTAL EXPENSES MONTHLY BALANCE TO SAVE (total income total expenses) Current Expenses Spending Changes New Budget Session 6: Simple Living 95

12 My Net Worth Current Estimate and Five Year Projection Assets Amount Worth (Current) Amount Worth (Five years) Total Liabilities Amount Owed (Current) Amount Owed (Five years) Total Assets Liabilities = Session 11: Plan for Change 160

13 FAITH & FINANCES EVALUATION Please take some time to complete the following questions so that we can serve people like you better in the future. 1. The teaching style and methods used for this course were: 1=Very poor, 2=Poor, 3=Average, 4=Good, 5=Very Good 2. The written material and handouts were: 1=Very poor, 2=Poor, 3=Average, 4=Good, 5=Very Good 3. Describe two ways this training prepared you to better manage your money. 4. Describe two suggestions you have to help us improve the training. 185

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