SAP2021PROGRESS | IMYOUNGANDEMPOWEREDINC

* For IYAE - SAP2021 participants only - to be completed the last business day of each month for continued SAP2021 Assistance.

Todays date

First Name

Last Name

Phone

Full Address

#1 Goal - Same as starting financial goal

#1 Goal (numbers only):

#2 Goal - Same as starting financial goal

#2 Goal (numbers only):

#3 Goal - Same as starting financial goal

#3 Goal (numbers only):

Total income this month from all sources (numbers only):

Has your economic stability improved since last month?

Yes

Somewhat

Not at all

Please explain progress or any roadblocks this month on meeting your goals:

Upload current statements jpg.

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Your Signature

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