Question 1 |
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Question 2 |
Is your institution open to the public, or are there restrictions based on community membership (trade union, occupation, etc.)?* : |
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Question 3 |
Does your institution offer any of the non-commercial services below?* Please check all that apply: |
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Question 4 |
Does your institution offer any of the commercial services below for FREE or at low (under $10 one-time or annually)?* Please check all that apply: |
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Question 5 |
Does your institution offer a checking account with any of the following features?* Please check all that apply: |
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Question 6 |
Does your institution offer "Second Chance Checking"?*: |
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Question 7 |
Does your institution offer savings accounts with any of the following features?* Please check all that apply: |
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Question 8 |
Does your institution additionally offer any of the following products?* Please check all that apply: |
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Question 9 |
Does your institution offer a short-term loan product alternative to "payday loan" companies? *: |
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Question 10 |
Please indicate whether or not your institution offers any of the following money transfer services, and if so, what the fees are associated with it.: |
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Electronic transfer accounts*: |
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Contract transfer services*: |
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Internal wire service*: |
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Question 11 |
Please indicate which forms of identification are acceptable to open an account:*: |
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Question 12 |
Does your institution process Individual Tax Identification Number applications directly?*: |
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Do you offer loans for immigration-related costs?*: |
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Question 13 |
Does your institution offer any of the following bilingual services in Spanish?* Please check all that apply: |
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Does your institution offer any of the following bilingual services in Vietnamese?* Please check all that apply: |
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Question 14 |
Is a Social Security Number required for loans?*: |
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Question 15 |
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Representative Information (Note: this information will not be published for the public, and is only for follow-up purposes) |
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